Reason Code: CO-109

Error Description:

Claim/service not covered by this payer/contractor.  You must send the claim/service to the correct payer/contractor.

Remark Code N105: This is a misdirected claim/service for an RRB beneficiary. Submit paper claims to the RRB carrier: Palmetto GBA, P.O. Box 10066, Augusta, GA 30999. Call 888-355-9165 for RRB EDI information for electronic claims processing.

Avoiding/Correcting This Error

Palmetto GBA is the Medicare Administrative Contractor for processing claims of railroad retirees, regardless of their location. Providers and suppliers must verify patients' Medicare entitlement before submitting claims. Use the Eligibility function in NGSConnex for verification.