MA22Remark Code (RARC)Active
MA22 Remark Code - Payment Less Than $1.00 Suppressed
The MA22 remark code indicates that the payment amount for the claim is less than $1.00 and has been suppressed. This means that while an adjustment was made, the resulting payment is so minimal that it is not reflected in the remittance advice.
How It Relates to the Denial
The MA22 remark code typically accompanies reason codes that explain the adjustment made to the payment. It serves to clarify why the payment amount appears as it does, particularly in situations where the adjustment results in a negligible payment.
Common Scenarios
1A claim for a routine office visit was billed for $50, but due to contractual adjustments, the payment processed was $0.75.
→ In this case, the MA22 remark code would clarify that the payment amount of $0.75 was suppressed because it is less than $1.00, indicating minimal financial impact.
2An outpatient procedure was billed at $200, but after adjustments, the payer issued a payment of $0.99.
→ The appearance of the MA22 remark code here indicates that while the payer processed the claim, the resulting payment was suppressed due to being under the $1.00 threshold.
3A claim submitted for preventive care services had a billed amount of $100, but the payer's adjustment led to a payment of $0.50.
→ The MA22 remark code signals that the payment of $0.50 was suppressed because it is below the $1.00 threshold, thus providing context for the low payment.
What to Do
- Do not resubmit the claim based solely on the MA22 remark code, as it indicates a valid adjustment.
- If applicable, review the claim details to ensure no further action is required for the adjustment made.
What to Check
- Review the accompanying reason code to understand the adjustment that led to the payment suppression.
- Check the original billed amount and the adjustment details to confirm that the payment was indeed less than $1.00.
- Verify any contract terms that may have influenced the payment amount to ensure compliance.