Reason Code: CO-109

Error Description:

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

Avoiding/Correcting This Error

This denial is received when your Medicare patient is enrolled in a MA plan, instead of “traditional fee-for-service” Medicare.

MA plans are health plans offered by private companies approved by Medicare that replaces a beneficiary's traditional Medicare plan.

When actively enrolled into an MA Plan, please submit the patient's Medicare claims to that MA Plan.

Our NGSConnex provider portal provides patient eligibility and benefit information (including MA information) to assist in determining if your patient is enrolled in a MA plan.