Other insurance information missing
The payer knows or suspects the patient has other coverage and needs the plan details before processing.
Usual causes
- Other insurance box marked yes without plan details.
- Payer file shows another plan that the patient no longer has.
The fix
Collect the other plan's name, ID and relationship. Bill the primary first if there is one. If there is no other coverage, have the patient tell the payer so the file is updated, then ask for reprocessing.
Appeal or corrected claim?
Corrected claim with the other insurance details, or patient updates coordination of benefits.
Deadline to watch
Timely filing limit.
Exact limits are in your payer contract or provider manual. When in doubt, send the correction or appeal this week.
MA92 in short
What does MA92 mean?
The payer knows or suspects the patient has other coverage and needs the plan details before processing. The official X12 text reads: "Missing plan information for other insurance."
What usually causes a MA92 denial?
Other insurance box marked yes without plan details. Payer file shows another plan that the patient no longer has.
How do I fix MA92?
Collect the other plan's name, ID and relationship. Bill the primary first if there is one. If there is no other coverage, have the patient tell the payer so the file is updated, then ask for reprocessing.
Should I appeal MA92 or send a corrected claim?
Corrected claim. Corrected claim with the other insurance details, or patient updates coordination of benefits.
What deadline applies to MA92?
Timely filing limit.