MA118Remark Code (RARC)ActiveInformational Alert
MA118 Remark Code: No Medicare Payment for VA Services
The MA118 alert indicates that no Medicare payment was issued for a claim involving services or supplies provided to a Medicare-eligible veteran at a Department of Veterans Affairs facility. This alert serves to inform the biller that while Medicare did not make a payment, coinsurance and/or deductible amounts may still apply to the veteran.
What This Alert Tells You
The MA118 alert is informational and is not associated with any specific adjustment or denial. It typically accompanies claims for services rendered to veterans in VA facilities, signaling that the payer did not process a Medicare payment for those claims.
Common Scenarios
1A claim for physical therapy services was submitted for a Medicare-eligible veteran who received treatment at a VA facility.
→ The MA118 alert indicates that Medicare did not issue a payment for this claim, likely because the services were provided in a VA facility, and the veteran may still owe coinsurance or deductible amounts.
2A hospital claim for inpatient care was filed for a Medicare-eligible veteran at a Department of Veterans Affairs hospital.
→ The MA118 alert informs that no Medicare payment was made for this claim. The biller should be aware that the veteran might be responsible for out-of-pocket costs, such as coinsurance or deductible.
3A claim for durable medical equipment (DME) was submitted for a Medicare-eligible veteran who received the equipment through a VA facility.
→ The presence of the MA118 alert indicates that Medicare did not pay for this DME claim, and the veteran may have coinsurance or deductible obligations.
What to Do
- Do not resubmit the claim; this is an informational alert only.
- Inform the veteran of potential coinsurance or deductible responsibilities for the services rendered.
What to Check
- Review the claim details to confirm the facility type and services provided.
- Check the eligibility response for the veteran's Medicare coverage status.
- Consult the claims payment policy to understand the implications of services provided at VA facilities.