MA83Remark Code (RARC)Active
MA83 Remark Code - Payer Status Not Indicated
The MA83 remark code indicates that the claim did not specify whether the payer is primary or secondary. This absence of information can lead to confusion regarding the payment responsibilities between payers.
How It Relates to the Denial
The MA83 remark typically accompanies a claim adjustment reason code that reflects an adjustment due to lack of clarity about payer responsibility. This combination signals the need for the biller to clarify the payer's role in the claim.
Common Scenarios
1A provider submitted a claim for a procedure, but the remittance indicates an adjustment due to missing payer information.
→ The MA83 remark points out that the payer could not determine if it should process the claim as primary or secondary due to the lack of indication from the provider.
2An insurance claim for a patient with dual coverage was submitted, but the remittance returned an adjustment with the MA83 code.
→ The MA83 remark suggests that the claim did not specify which insurance is primary, leading to an inability for the payer to process the claim correctly.
3After billing for a surgery, the provider receives an 835 with an adjustment that includes the MA83 remark code.
→ This indicates that the payer is unclear about whether they are the primary or secondary payer, requiring the provider to clarify this information.
What to Do
- Clarify in your records whether the payer is primary or secondary for the claim in question.
- If applicable, submit a corrected claim indicating the correct payer order.
What to Check
- The claim form to ensure the primary and secondary payer information is clearly indicated.
- Any previous correspondence with the payer regarding the patient's insurance coverage.
- The eligibility response to confirm the coordination of benefits between the payers.