MA106Remark Code (RARC)Active
MA106 Remark Code - PIP Claim Explanation
The MA106 remark code indicates that the payment being processed is related to a Periodic Interim Payment (PIP) claim. This means that the claim has been handled under a payment methodology that allows for interim payments rather than a final settlement at the end of the billing period.
How It Relates to the Denial
The MA106 remark typically accompanies claim adjustment reason codes that explain the adjustments made to payments, specifically those related to interim billing arrangements. The combination of MA106 with an adjustment reason code indicates that the claim is being paid on an interim basis, reflecting the nature of the billing process.
Common Scenarios
1A provider submits a claim for a series of services rendered over a month and receives a remittance showing an interim payment.
→ The appearance of the MA106 remark suggests that this payment is part of a PIP arrangement, indicating that the payment is not final and additional payments may follow.
2A facility bills for inpatient services and the remittance advises of a partial payment with the MA106 remark present.
→ The MA106 remark clarifies that the partial payment made is part of a periodic interim payment process, which is standard for certain types of claims.
3A provider receives an 835 remittance for a claim involving ongoing services where the MA106 remark is included along with a specific adjustment reason code.
→ This remark signals that the claim is being reimbursed under a PIP methodology, which may affect how the provider reconciles the total expected payment.
What to Do
- Verify the payment methodology used for the claim is consistent with a Periodic Interim Payment arrangement.
- Review the accompanying claim adjustment reason code for further details on payment adjustments.
- Ensure that any follow-up claims are submitted in accordance with the interim payment guidelines.
What to Check
- The claim record to confirm it was billed as a PIP claim.
- The payment policy document to understand how interim payments are processed.
- The adjustment reason codes on the remittance to see how they relate to the MA106 remark.