M24Remark Code (RARC)Active
M24 Remark Code - Missing/Invalid Doses per Vial
The M24 remark code indicates that the claim has been adjusted due to a missing, incomplete, or invalid number of doses per vial. This remark supplements an adjustment already specified by an accompanying Claim Adjustment Reason Code, providing clarity on the specific issue with the dosing information.
How It Relates to the Denial
The M24 remark code typically appears alongside adjustment reason codes that relate to billing discrepancies for medications or vaccines. This combination signals that the payer has identified a problem specifically with the number of doses that were reported for a vial.
Common Scenarios
1A claim for a vaccine was submitted, but the remittance shows an adjustment related to the number of doses billed.
→ The M24 remark indicates that the payer found the number of doses per vial to be missing or incorrect, which led to the adjustment on the claim.
2A provider billed for a medication that requires a specific dosing schedule, but the remittance indicates an adjustment for incomplete information.
→ The M24 remark suggests that the submitted claim lacked the necessary details regarding the doses per vial, prompting the payer's adjustment.
3A pharmacy submitted a claim for a medication, but the returned remittance includes an adjustment with a reason code for incorrect dosing.
→ The presence of the M24 remark means the payer is flagging that the number of doses per vial was not properly documented in the claim.
What to Do
- Review the number of doses per vial reported on the claim and ensure it is accurate and complete.
- If additional information is needed, provide the correct dosing details in the claim resubmission.
- Ensure that the documentation supporting the number of doses is included with the claim if required by the payer.
What to Check
- Verify the original claim submission for the correct number of doses per vial.
- Check the accompanying Claim Adjustment Reason Code for further context on the adjustment.
- Review any documentation that was submitted with the claim to confirm it contains the necessary dosing information.