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CO-197 Denial Code: The Prior Authorization Recovery Playbook for AR Teams in 2026

CO-197 denial code 2026 hero banner: prior authorization absent not medical necessity, RARC pairing diagnosis, and retro-auth or appeal routing.v

What Is CO-197 Denial Code and Why It’s Costing Your Practice Revenue Right Now The co 197 denial code means the payer rejected the claim because prior authorization, precertification, or notification was not obtained before the service was rendered. Per X12, the standards body that maintains all HIPAA-mandated claim adjustment reason codes, the verbatim CARC 197 […]

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