MA108Remark Code (RARC)Active
MA108 Remark Code - Field 23 Data Item Error
The MA108 remark code indicates that the paper claim submitted contains more than one data item in field 23. This suggests that the information in that specific field is not compliant with the expected format, which typically requires only a single data item.
How It Relates to the Denial
The MA108 remark code often accompanies claim adjustment reason codes that relate to claim submission errors or formatting issues. The combination signals that there is a specific problem with how the information was presented on the claim form.
Common Scenarios
1A provider submits a paper claim for a patient visit and includes multiple service dates in field 23. The remittance response includes a claim adjustment reason code indicating the claim was denied due to formatting issues.
→ The MA108 remark code clarifies that the denial is specifically due to having more than one data item in field 23, indicating a need to correct the claim format.
2A facility bills for a series of lab tests on a single claim but lists multiple test results in field 23. The remittance advises that the claim has been adjusted with a reason code for incorrect data submission.
→ Here, the MA108 remark code points out that the presence of multiple entries in field 23 is the reason for the adjustment, highlighting a formatting violation.
3A claim for a surgical procedure is submitted with both the procedure code and the modifier in field 23. The remittance response shows an adjustment with a reason code for incorrect claim submission.
→ The MA108 remark code indicates that having both a procedure code and modifier in field 23 led to the adjustment, emphasizing the need for proper field usage.
What to Do
- Revise the claim to ensure that field 23 contains only one data item as required.
- Resubmit the corrected paper claim to the payer.
What to Check
- Review the original paper claim submitted to verify the contents of field 23.
- Check the payer's guidelines for the required format of field 23 on paper claims.
- Refer to the claim adjustment reason code that accompanies MA108 for additional context on the adjustment.