Denial Code 288 (CO-288, PR-288) — Meaning & What to Do

Claim Adjustment Reason Code (CARC)

What denial code 288 means: A referral is required but was not provided.
What to do about denial code 288: Ask the provider's billing office to explain or correct this, and resubmit if needed.

CO-288 vs PR-288 vs OA-288: what the prefix means

Code on your EOBWhat the prefix meansWho typically pays
CO-288Contractual obligation — the provider writes the amount offUsually not the patient
PR-288Patient responsibilityThe patient
OA-288Other adjustmentOften another payer or plan

The prefix tells you who is expected to absorb the amount; the number (288) tells you why.

Seeing denial code 288 on your EOB?
A denial code tells you what the payer reported, but it may not tell the whole story. Reviewing your EOB and bill together can help clarify what may need attention.

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Related codes

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Frequently asked questions about Denial code 288

What does denial code 288 mean on my EOB?

A referral is required but was not provided.

What should I do about denial code 288?

Ask the provider's billing office to explain or correct this, and resubmit if needed.

Seeing this code on your own EOB?
Upload the EOB, the bill, or both — MD Bill Check reads the codes on your documents, compares them side by side, and flags what's worth questioning. Free, no account needed.

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Last reviewed 2026-07-07 · MDBillCheck Editorial Team. Plain-English explanations are original wording; always verify the specific reason with your insurer.