Healthcare Error Code
Healthcare Insurance / Medical Billing
Claim Adjustment Reason Codes (CARC)

CO-109 | Claim not covered by this payer

Industry
Healthcare
Canonical
/healthcare/error-codes/co-109/
Last Updated
Feb 25, 2026
Summary

This code indicates that the payer is not responsible for covering the submitted claim.

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What This Code Means

CO-109 is used when the insurer determines it is not the correct payer for the claim. Coverage may exist under another insurer or plan. This is a payer responsibility determination, not a service denial. The claim itself may be valid but directed to the wrong payer. It does not imply improper billing.

Where Users Usually See This Code

  • Remittance advice
  • EOB statements
  • Claim status portals

Why This Code Appears

  • Incorrect payer information submitted
  • Coordination of benefits issues
  • Coverage terminated or changed

What Typically Happens Next

  • The claim is denied by the payer
  • Responsibility shifts to another insurer
  • The claim may need redirection

What This Code Is Not

  • It is not a non-covered service
  • It is not a billing format error
  • It is not patient responsibility by default

Troubleshooting Checklist

  • Verify primary coverage
  • Review coordination of benefits
  • Confirm active policy status

Notes And Edge Cases

Dual coverage situations often trigger this code. Timing of coverage updates can cause temporary payer mismatches.

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