CMS 2026 Alert: Quarterly ICD-10-CM & NCCI updates active.
About Us Editorial Policy Contact RCM Team
🔍 Quick Search
MA96 - Denial Journal
← Back to Code Directory
RARC

MA96

RARC Eligibility
Quick Facts
Code
MA96
Type
RARC
Category
Eligibility
Status
Active

What Does This Code Mean?

Claim rejected. Coded as a Medicare Managed Care Demonstration but patient is not enrolled.

Common Causes

  • Patient's coverage wasn't active on the date of service
  • Wrong member ID or plan information submitted
  • Dependent/relationship status not up to date with the payer

Recommended Next Steps

  1. Re-verify eligibility for the exact date of service
  2. Confirm member ID and plan details directly with the patient or payer
  3. Bill any other active coverage found, or the patient per financial policy

More Denial Codes to Check

CARC CO-211 CARC CO-178 CARC CO-140 CARC CO-27 CARC CO-177 CARC CO-13 CARC CO-31 CARC B9 CARC CO-28 CARC CO-33

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

🏠 Home 🔍 Lookup 📋 Appeals 📖 Guides
Scroll to Top