CO-119 Denial Code
What it means
You've hit a limit your plan sets on this benefit (e.g., a cap on visits or dollars for the year).
Why it happens
The plan caps how many of a service it covers per year/lifetime, and you've reached it.
What to do
Verify the limit in your benefits. If continued care is medically necessary, appeal for an exception with your doctor's support; some limits have medical-necessity overrides.
Can you appeal it?
Sometimes - via a medical-necessity exception.
Official description
Benefit maximum for this time period or occurrence has been reached.
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