MA107Remark Code (RARC)Active
MA107 Remark Code - Claim Field 19 Issues
RARC MA107 indicates that the paper claim submitted contains more than three separate data items in field 19. This remark supplements a prior Claim Adjustment Reason Code by specifying a potential issue with the claim's documentation format.
How It Relates to the Denial
Typically, MA107 is seen alongside adjustment reason codes related to claim submission errors or documentation deficiencies. Its presence signals that the claim may need revision to meet submission standards.
Common Scenarios
1A provider submitted a paper claim for a series of lab tests, and the remittance shows a denial due to documentation issues.
→ In this case, MA107 highlights that field 19 of the claim included too many separate data items, which is not compliant with the payer's requirements.
2A claim for a surgical procedure was returned with an adjustment code indicating insufficient information, and MA107 appears on the remittance.
→ This remark suggests that the information provided in field 19 exceeded the allowable limit, prompting the payer to request clearer documentation.
3An outpatient visit was billed with additional notes in field 19, and the claim was denied because of excessive data items listed.
→ Here, MA107 informs the biller that the claim's field 19 exceeded the three-item limit, which contributed to the denial.
What to Do
- Review field 19 of the submitted claim to ensure it contains no more than three separate data items.
- Resubmit the claim with a corrected field 19 that adheres to the required limit.
- Consider providing a cover letter if additional context is necessary, but ensure field 19 is compliant.
What to Check
- The submitted paper claim to verify the contents of field 19.
- Payer guidelines regarding the maximum number of data items allowed in field 19.
- Any previous correspondence or remittance advice that outlines claim submission requirements.