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CO-15: Authorization number missing or invalid

UPDATED JULY 2026 · U.S. PLANS · NOT LEGAL OR MEDICAL ADVICE

Care that needed prior authorization was billed without a valid authorization number — sometimes because one was never obtained, sometimes because a valid number wasn't put on the claim.

CO-15 at a glance
  • Code group: CO — Contractual Obligation — in-network providers generally cannot bill you for CO adjustments.
  • Who usually fixes it: The provider’s billing office.
  • Worth appealing? Sometimes — depends on the facts.

What to do about a CO-15 denial

  1. Ask the provider whether an authorization existed; if yes, they resubmit with the number.
  2. If authorization was never obtained, ask about a retroactive authorization request.
  3. If the payer refuses, appeal — especially where the service was urgent or the auth failure wasn't yours.

Best next read: Prior authorization denials — the full guide (with a free letter template) for this denial type.

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