What is a 242 rejection code?

Asked by: Prof. Mercedes Schmeler Jr.  |  Last update: July 18, 2025
Score: 5/5 (66 votes)

Denial code 242 means services were not provided by network or primary care providers. Learn how to handle this common billing issue.

What is denial code 242?

Definition: Denial Code PR-242 means that the claim was denied because the services were not provided by network or primary care providers.

What is a 242 charge code?

A battery is any willful and unlawful use of force or violence upon the person of another.

What is the code +242?

Republic of the Congo Country Code 242 Country Code CG.

How would you handle a CO22 denial?

  1. Verify the Denial Reason.
  2. Review the Patient's Insurance Coverage.
  3. Identify the Primary Payer.
  4. Submit the Medical Claim to the Correct Insurer.
  5. Follow Up.
  6. Appeal (if Necessary)

Provider is Out Of Network denial in Medical billing | PR 242 Denial | #ushealthcare #denial #cms

26 related questions found

What does CO22 mean?

The CO 22 denial code is used when a claim is submitted for a service that falls outside the scope of the covered benefits.

What is the reason for co 24 denial code?

The clear and foremost CO24 denial code reason is when Medicare records indicate that the provided healthcare services should be billed to a managed care health plan, rather than directly to Medicare. In such instances, Medicare will reject the claim, marking it with the CO 24 denial code.

What does code 242 mean?

According to California Penal Code 242, anyone who willfully touches someone with force, even if it does not injure the victim, is considered to have committed “Battery”. In addition, physical contact to the “person of another” (includes items that a person is holding) could potentially result in a criminal charge.

What is the meaning of 242?

In numerology, the number 242 signifies balance, harmony, and diplomacy. It encourages us to find peace within ourselves and extend that harmony to our interactions with others. The number 242 also serves as a gentle nudge to assess our priorities and ensure that our actions align with our true values.

What is fault code 242?

Fault Code 242 Vehicle Speed Sensor Circuit Tampering Has Been Detected - Abnormal Rate of Change.

What is violation of 242?

California Penal Code § 242 – Simple Battery

California Penal Code [CPC] §242 – Simple Battery – California Penal Code Section 242 makes it illegal to use willful and unlawful force on another person. Conviction under CPC §242 permits up to six months in a county jail and/or a fine of up to $2,000.

What is the federal code 242?

18 U.S.C. § 242

This provision makes it a crime for someone acting under color of law to willfully deprive a person of a right or privilege protected by the Constitution or laws of the United States. It is not necessary that the offense be motivated by racial bias or by any other animus.

What are charge codes for?

A charge code is a unique alphanumeric identifier assigned to a specific healthcare service or procedure provided to a patient. It is an essential component of the healthcare revenue cycle management (RCM) process, as it helps in accurately capturing and tracking the services rendered by healthcare providers.

What are the denial codes?

Denial codes are alphanumeric codes that are assigned by insurance companies (payers), whether private or public, to show why a specific insurance claim was denied—in other words, not paid by the insurance company. For example, CO-11 means “Error in Coding.” CO-18 means “Duplicate Claim.”

What does patient is not responsible for denied charges mean?

The paperwork may say "patient is not responsible for denied charges." This means that the claim is not at the stage where they're asking you to pay for the medical procedure. Instead, the insurance company usually needs more information from your doctor's office or medical provider.

What is denial code 240?

What is Denial Code 240. Denial code 240 is used when the diagnosis provided for a patient is not consistent with their birth weight. This means that the diagnosis mentioned does not align with the recorded birth weight of the patient.

What's 242?

Area code 242 is the telephone area code in the North American Numbering Plan (NANP) for The Bahamas.

What is the color code for 242 242 242?

The RGB color 242, 242, 242 is a light color, and the websafe version is hex FFFFFF. A complement of this color would be 242, 242, 242, and the grayscale version is 242, 242, 242. A 20% lighter version of the original color is 255, 255, 255, and 186, 186, 186 is the 20% darker color.

What does 424 mean?

Things You Should Know. Angel number 424 symbolizes positive changes, growth, and hard work. Your angels are telling you to keep giving your 100% to achieve your dreams and goals. If you're in a relationship, focus on communicating with your partner to maintain harmony with them.

What is a denial code 242?

Denial code 242 means services were not provided by network or primary care providers. Learn how to handle this common billing issue.

What is scanner code 242?

242 PC: Battery (MISDEMEANOR) - Willful and unlawful - use of force or violence - on the person of another.

What does code 24 mean in a hospital?

Inadequate documentation: Proper documentation is crucial for accurate billing and reimbursement. If the healthcare provider fails to provide sufficient documentation to support the charges or if the documentation is incomplete or illegible, the claim may be denied with code 24.

What is a co 42 denial reason?

Reason Codes: CO-42 Charges exceed our fee schedule or maximum allowable amount.

What is a co 23 rejection code?

Denial code 23 is used to indicate that the claim has been denied due to the impact of prior payer(s) adjudication, which includes payments and/or adjustments. This denial code is typically used in conjunction with Group Code OA.