MA92 remark code
Remittance advice remark code MA92. Remark codes add detail to the reason code on the same claim line.
Other insurance plan details missing
Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .
What MA92 means
The claim shows other coverage, but the plan details for that other insurance are missing.
The payer knows or was told the patient has other insurance, but the claim did not include enough about that plan to coordinate benefits. Details such as the plan name, member ID or group number may be missing.
It usually comes with reason code 16 or 22.
Common causes
- The other insurance was flagged but its details were left blank.
- The patient's secondary plan details were never collected at registration.
- The billing system did not send the other payer loop on the electronic claim.
What to do next
- Collect complete details of the other plan from the patient or the card.
- Update the insurance record in the billing system.
- Resubmit with the other insurance information included.
Related codes
- MA04 (remark code) Primary payer information needed
- MA83 (remark code) Payer order not indicated on claim
- M56 (remark code) Missing or invalid payer identifier
Source
Official wording: X12 Remittance Advice Remark Codes list. The explanation on this page is our own plain-English wording, not the X12 text.
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