MA19Remark Code (RARC)ActiveInformational Alert
MA19 Remark Code: Medigap Information Alert
The MA19 remark code indicates that information was not forwarded to the Medigap insurer because the submitted details were incorrect or invalid. This alert serves as a notification for billers to verify the information provided regarding the Medigap insurer before resubmitting a secondary claim.
What This Alert Tells You
The MA19 remark is purely informational and is not associated with any specific payment adjustment. It may appear alongside other reason codes that highlight issues with secondary claims, but it does not indicate a denial or adjustment itself.
Common Scenarios
1A provider submits a claim for a patient with Medicare and a Medigap policy, but the secondary claim is returned with the MA19 remark code.
→ In this situation, the MA19 code signals that the claim cannot proceed to the Medigap insurer due to inaccuracies in the submitted information. The payer expects the biller to review and correct the details regarding the Medigap insurer.
2A billing office receives an 835 remittance showing the MA19 remark code after submitting a secondary claim for services rendered to a Medicare beneficiary.
→ The appearance of the MA19 remark suggests that the secondary claim was not processed because of invalid information concerning the Medigap insurer. The biller should take action to verify the insurer's details.
3After receiving a denial on a secondary claim, a biller checks the remittance advice and finds the MA19 alert code listed.
→ The MA19 remark indicates that the claim was not sent to the Medigap insurer due to incorrect data. The biller needs to ensure that the correct information about the Medigap insurer is provided before resubmission.
What to Do
- Verify the information submitted regarding the Medigap insurer.
- Correct any inaccuracies in the details about the Medigap policy.
- Submit the secondary claim directly to the Medigap insurer after ensuring all information is accurate.
What to Check
- The patient's Medigap insurance information for accuracy.
- Previous claims submitted to ensure consistency in the details provided.
- The eligibility response to confirm the Medigap insurer's details.