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MA99 - Denial Journal
RARC

MA99

What This Code Means

The claim is missing, incomplete, or has an invalid Medigap information.

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  • COB information on file with the payer is outdated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

More Denial Codes to Check

RARC MA85 CARC CO-A3 CARC CO-109 Claim not covered by this payer/contractor — send to correct payer CARC OA-23 Impact of prior payer(s) adjudication including payments and/or adjustments RARC MA89 CARC CO-19 Work-related injury/illness — liability of the Workers' Compensation carrier CARC CO-22 This care may be covered by another payer per coordination of benefits RARC N36

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

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