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CO-27: Expenses incurred after coverage ended

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

The payer believes your policy had already terminated on the date of service. Frequently an eligibility-file error after job changes or plan renewals.

CO-27 at a glance
  • Code group: CO — Contractual Obligation — in-network providers generally cannot bill you for CO adjustments.
  • Who usually fixes it: You and the billing office together.
  • Worth appealing? Sometimes — depends on the facts.

What to do about a CO-27 denial

  1. Verify your termination date with HR, the marketplace, or the insurer's eligibility department.
  2. If coverage was active (including COBRA), send proof and request reprocessing.
  3. Appeal with the paper trail if the payer won't correct the date.

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

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