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CO-204: Service not covered under the current benefit plan

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

The payer says this service, drug, or supply simply isn't a benefit of your plan. For medications this often means a formulary exclusion — which has its own exception process.

CO-204 at a glance
  • Code group: CO — Contractual Obligation — in-network providers generally cannot bill you for CO adjustments.
  • Who usually fixes it: You (the member).
  • Worth appealing? Yes — commonly appealed.

What to do about a CO-204 denial

  1. For drugs: file a formulary exception with your prescriber's support.
  2. For services: ask the insurer to cite the exclusion, then compare against your Evidence of Coverage.
  3. Appeal when the plan language covers your situation or an exception pathway applies.

Best next read: Formulary / drug-not-covered denials — the full guide (with a free letter template) for this denial type.

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