CMS 2026 Alert: Quarterly ICD-10-CM & NCCI updates active.
MA89 - Denial Journal
RARC

MA89

What This Code Means

The claim is missing, incomplete, or has an invalid patient’s relationship to the insured for the primary payer.

Common Causes

  • Another payer is primary and wasn't billed first
  • COB information on file with the payer is outdated
  • Primary payer's EOB not included with the secondary claim

How to Resolve or Appeal

  1. Confirm the correct primary/secondary order with the patient and payer
  2. Bill the primary payer first if not already done
  3. Attach the primary payer's EOB/835 information when billing secondary

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

Scroll to Top