OA 300 denial code

Claim adjustment reason code 300. Often reported as OA 300 or CO 300.

Medical plan forwarded to behavioral plan

Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .

What 300 means

The medical plan found no benefit for the service and forwarded the claim to the patient's behavioral health plan.

Many plans carve out mental health and substance use services to a separate behavioral health vendor. Here the medical payer passed the claim to that plan for you. Code 301 is used when it is not forwarded.

Behavioral health plans may have their own authorization and network rules.

Group codes seen with 300

On a remittance, 300 comes after a group code. These are the ones it is most often reported with:

The payer chooses the group code for each adjustment, so the same reason code can appear with another group code on your remittance. Read the two together. More about group codes.

Common causes

What to do next

  1. Record that the claim was forwarded to the behavioral health plan.
  2. Follow up with the behavioral health plan for its decision.
  3. Check that you are in network and have any needed authorization with that plan.

Related codes

Source

Official wording: X12 Claim Adjustment Reason Codes list. The explanation on this page is our own plain-English wording, not the X12 text.

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