OA-B11: Claim Transferred to Proper Payer — Not Covered Here

What Does OA-B11 Mean?

When paired with Group Code OA, the claim transfer was triggered by coordination of benefits processing. The payer identified another plan as responsible and transferred the claim accordingly.

CARC B11 indicates the payer received the claim but determined it is not the correct payer for this patient or service. The payer transferred the claim to what it identified as the proper payer for processing. This is a routing issue — the claim was sent to the wrong destination.

Common causes include submitting to a payer where the patient's coverage has terminated, incorrect Medicare Secondary Payer routing, outdated insurance information, or simple claim submission errors. The payer may have automatically forwarded the claim, or it may simply be informing you that the claim needs to go elsewhere.

The primary action is to verify the patient's current insurance information and ensure the claim reaches the correct payer. If the payer says it transferred the claim, follow up with the receiving payer to confirm it was received and is being processed.

Common Causes

How to Resolve

1. Review COB details Understand which payer is primary and which is secondary.
2. Track with correct payer Follow up with the payer identified as responsible.

Common RARC Pairings

The RARC code tells you exactly what triggered the OA-B11:

How to Prevent OA-B11

• Verify COB details during patient registration to identify the correct primary payer
• Submit claims to the correct primary payer to avoid transfers

Also Filed As

The same CARC B11 may appear with different Group Codes:

Related Denial Codes