RARC MA-Series Remark Codes

All 110 active RARC MA-series Remittance Advice Remark Codes and their meanings. RARC codes supplement CARC denial reasons on the EOB/ERA. Search a code or keyword below.

MA01

Coverage not supported for this level of service. Review/appeal may be requested within 120 days; patient refund/overpayment rules may apply.

MA02

If you do not agree with this determination, you have the right to appeal. You must file a written request for an appeal within 180 days of the date you receive this notice

MA04

Secondary payment cannot be considered without the identity of or payment information from the primary payer. The information was either not reported or was illegible

MA07

The claim information has also been forwarded to Medicaid for review

MA08

Claim information was not forwarded because the supplemental coverage is not with a Medigap plan, or you do not participate in Medicare

MA09

Claim submitted as unassigned but processed as assigned in accordance with our current assignment/participation agreement

MA10

The patient's payment was in excess of the amount owed. You must refund the overpayment to the patient

MA12

You have not established that you have the right under the law to bill for services furnished by the person(s) that furnished this service(s)

MA13

You may be subject to penalties if you bill the patient for amounts not reported with the PR group code

MA14

The patient is a member of an employer-sponsored prepaid health plan. Services from outside that health plan are not covered. However, as you were not previously notified of this…

MA15

Your claim has been separated to expedite handling. You will receive a separate notice for the other services reported

MA16

The patient is covered by the Black Lung Program. Send this claim to the Department of Labor, Federal Black Lung Program, P.O. Box 828, Lanham-Seabrook MD 20703

MA17

We are the primary payer and have paid at the primary rate. You must contact the patient's other insurer to refund any excess it may have paid due to its erroneous primary payment

MA18

The claim information is also being forwarded to the patient's supplemental insurer. Send any questions regarding supplemental benefits to them

MA19

Information was not sent to the Medigap insurer due to incorrect/invalid information you submitted concerning that insurer. Please verify your information and submit your secondar…

MA20

Skilled Nursing Facility stay not covered when care is primarily related to the use of an urethral catheter for convenience or the control of incontinence

MA21

SSA records indicate mismatch with name and sex

MA22

Payment of less than $1.00 suppressed

MA23

Demand bill approved as result of medical review

MA24

Christian Science Sanitarium/ Skilled Nursing Facility bill in the same benefit period

MA25

A patient may not elect to change a hospice provider more than once in a benefit period

MA26

Our records indicate that you were previously informed of this rule

MA27

Missing/invalid entitlement number or name shown on the claim

MA28

Receipt of this notice by a physician or supplier who did not accept assignment is for information only and does not make the physician or supplier a party to the determination. N…

MA30

Missing/invalid type of bill

MA31

Missing/invalid beginning and ending dates of the period billed

MA32

Missing/invalid number of covered days during the billing period

MA33

Missing/invalid non-covered days during the billing period

MA34

Missing/invalid number of coinsurance days during the billing period

MA35

Missing/invalid number of lifetime reserve days

MA36

Missing/invalid patient name

MA37

Missing/invalid patient's address

MA39

Missing/invalid gender

MA40

Missing/invalid admission date

MA41

Missing/invalid admission type

MA42

Missing/invalid admission source

MA43

Missing/invalid patient status

MA44

No appeal rights. Adjudicative decision based on law

MA45

As previously advised, a portion or all of your payment is being held in a special account

MA46

The new information was considered but additional payment will not be issued

MA47

Provider opted out of Medicare; claim not payable. Patient is responsible, subject to limiting charge rules if applicable.

MA48

Missing/invalid name or address of responsible party or primary payer

MA50

Missing/invalid Investigational Device Exemption number or Clinical Trial number

MA53

Missing/invalid Competitive Bidding Demonstration Project identification

MA54

Physician certification or election consent for hospice care not received timely

MA55

Not covered as patient received medical health care services, automatically revoking his/her election to receive religious non-medical health care services

MA56

Provider opted out of Medicare; claim not payable. Patient is responsible, subject to limiting charge rules if applicable.

MA57

Patient submitted written request to revoke his/her election for religious non-medical health care services

MA58

Missing/invalid release of information indicator

MA59

Patient overpaid. Refund the overpayment within 30 days based on the patient responsibility shown on this notice.

MA60

Missing/invalid patient relationship to insured

MA61

Missing/invalid social security number

MA62

This is a telephone review decision

MA63

Missing/invalid principal diagnosis

MA64

Our records indicate that we should be the third payer for this claim. We cannot process this claim until we have received payment information from the primary and secondary payers

MA65

Missing/invalid admitting diagnosis

MA66

Missing/invalid principal procedure code

MA67

Correction to a prior claim

MA68

We did not crossover this claim because the secondary insurance information on the claim was incomplete. Please supply complete information or use the PLANID of the insurer to ass…

MA69

Missing/invalid remarks

MA70

Missing/invalid provider representative signature

MA71

Missing/invalid provider representative signature date

MA72

Patient overpaid. Refund the overpayment within 30 days based on the patient responsibility shown on this notice.

MA73

Informational remittance associated with a Medicare demonstration. No payment issued under fee-for-service Medicare as patient has elected managed care

MA74

This payment replaces an earlier payment for this claim that was either lost, damaged or returned

MA75

Missing/invalid patient or authorized representative signature

MA76

Missing/invalid provider identifier for home health agency or hospice when physician is performing care plan oversight services

MA77

Patient overpaid. Refund the overpayment within 30 days based on the patient responsibility shown on this notice.

MA79

Billed in excess of interim rate

MA80

Informational notice. No payment issued for this claim with this notice. Payment issued to the hospital by its intermediary for all services for this encounter under a demonstrati…

MA81

Missing/invalid provider/supplier signature

MA83

Did not indicate whether we are the primary or secondary payer

MA84

Patient identified as participating in the National Emphysema Treatment Trial but our records indicate that this patient is either not a participant, or has not yet been approved…

MA88

Missing/invalid insured's address and/or telephone number for the primary payer

MA89

Missing/invalid patient's relationship to the insured for the primary payer

MA90

Missing/invalid employment status code for the primary insured

MA91

This determination is the result of the appeal you filed

MA92

Missing plan information for other insurance

MA93

Non-PIP claim

MA94

Did not enter the statement 'Attending physician not hospice employee' on the claim form to certify that the rendering physician is not an employee of the hospice

MA96

Claim rejected. Coded as a Medicare Managed Care Demonstration but patient is not enrolled in a Medicare managed care plan

MA97

Missing/invalid Medicare Managed Care Demonstration contract number or clinical trial registry number

MA99

Missing/invalid Medigap information

MA100

Missing/invalid date of current illness or symptoms

Paper claim contains more than three separate data items in field 19

MA108

Paper claim contains more than one data item in field 23

MA109

Claim processed in accordance with ambulatory surgical guidelines

MA110

Missing/invalid information on whether the diagnostic test(s) were performed by an outside entity or if no purchased tests are included on the claim

MA111

Missing/invalid purchase price of the test(s) and/or the performing laboratory's name and address

MA112

Missing/invalid group practice information

MA113

Incomplete/invalid taxpayer identification number submitted by you per the Internal Revenue Service. Your claims cannot be processed without your correct TIN, and you may not bill…

MA114

Missing/invalid information on where the services were furnished

MA115

Missing/invalid physical location where the service(s) were rendered in a Health Professional Shortage Area

MA116

Did not complete the statement 'Homebound' on the claim to validate whether laboratory services were performed at home or in an institution

MA117

This claim has been assessed a $1.00 user fee

MA118

No Medicare payment issued for this claim for services or supplies furnished to a Medicare-eligible veteran through a facility of the Department of Veterans Affairs. Coinsurance a…

MA120

Missing/invalid CLIA certification number

MA121

Missing/invalid x-ray date

MA122

Missing/invalid initial treatment date

MA123

Your center was not selected to participate in this study, therefore, we cannot pay for these services

MA125

Per legislation governing this program, payment constitutes payment in full

MA126

Pancreas transplant not covered unless kidney transplant performed

MA128

Missing/invalid FDA approval number

MA130

Your claim contains incomplete and/or invalid information, and no appeal rights are afforded because the claim is unprocessable. Please submit a new claim with the complete/correc…

MA131

Physician already paid for services in conjunction with this demonstration claim. You must have the physician withdraw that claim and refund the payment before we can process your…

MA132

Adjustment to the pre-demonstration rate

MA133

Claim overlaps inpatient stay. Rebill only those services rendered outside the inpatient stay

MA134

Missing/invalid provider number of the facility where the patient resides

FAQ

What are RARC MA-series codes?

RARC MA-series codes are Remittance Advice Remark Codes that supplement a claim adjustment reason code (CARC) on the EOB/ERA with extra detail. This page lists all 110 active MA-series codes and their meanings.

What is the difference between a CARC and a RARC?

A CARC states why a claim line was adjusted or denied; a RARC adds clarifying detail. A claim line can carry one CARC plus one or more RARCs.

← Back to the full denial codes lookup · CARC codes have individual pages; RARC are grouped by series. · POS codes

Reference only — CARC/RARC are national code sets updated periodically. Verify against the current official list before acting on a denial.