Eligibility

Denial code CO-140: Patient ID number and name do not match

The member ID and the patient name on the claim point to different people in the payer’s records.

Reason code
CARC 140
Typical group code
CO
Category
Eligibility
Usual next step
Appeal or correct and resubmit
X12 description

Patient/insured health identification number and name do not match.

What CO-140 actually means

A pure data-integrity failure. The payer found the member ID but the name attached to it does not match, or vice versa. It is almost always a registration transcription issue, and it is entirely recoverable — but it also tends to recur across every claim for the affected patient until the underlying record is corrected, so fixing the single claim is only half the job.

Why this denial happens

How to resolve a CO-140 denial

How to prevent it

Frequently asked

What does denial code CO-140 mean?

The member ID and the patient name on the claim point to different people in the payer’s records. The X12 description reads: "Patient/insured health identification number and name do not match."

How do I fix a CO-140 denial?

Run eligibility to retrieve the exact name and ID format the payer holds. Correct the patient record — not just this claim — so future claims stop failing. Resubmit with the corrected demographics.

Can CO-140 be billed to the patient?

Generally no. The recommended path for this code is "appeal or correct and resubmit" — check your payer agreement before transferring any balance to the patient.

Related denial codes

Related billing terms

See how much CO-140 is costing you

Upload your 835 remittance files and PayerVista groups every denial by reason code, payer, and dollar impact — so this code stops being a claim you happened to notice and becomes a number you can work.

General revenue-cycle guidance, not legal, coding, or payer-specific advice. Claim adjustment reason codes are maintained by X12 and are revised periodically; payer policy and your provider agreement govern in any specific case. Always read the remark codes transmitted with the denial — they frequently carry the detail this code does not.