M124Remark Code (RARC)Active
M124 Remark Code - Patient Equipment Ownership Missing
The M124 remark code indicates that there is missing information regarding whether the patient owns the equipment that necessitates the billed part or supply. This remark supplements an existing Claim Adjustment Reason Code, clarifying the reason for the adjustment related to the ownership of the equipment.
How It Relates to the Denial
The M124 remark code typically accompanies adjustment reason codes that pertain to equipment supplies, particularly in cases where ownership verification is essential for reimbursement. Its presence indicates that the payer requires confirmation of equipment ownership to proceed with the claim adjustment.
Common Scenarios
1A claim for a durable medical equipment (DME) supply is submitted, but the remittance advice shows an adjustment for lack of documentation.
→ In this case, the M124 remark code suggests that the payer needs clarification about whether the patient owns the DME in question before processing the claim.
2A provider submits a claim for a replacement part for a medical device, but the claim is denied due to insufficient information.
→ Here, the M124 remark code is pointing out that the claim lacks an indication of the patient's ownership of the medical device, which is critical for the adjustment made by the payer.
3A biller receives a remittance for a supply related to a piece of equipment, and it includes an adjustment reason code related to documentation issues.
→ The M124 remark code indicates that the payer is specifically looking for confirmation of ownership of the equipment to resolve the documentation issue.
What to Do
- Confirm whether the patient owns the equipment related to the billed part or supply.
- Document the ownership status in the claim file to provide clarity for the payer.
- Submit any necessary documentation that verifies the patient's ownership of the equipment.
What to Check
- The patient's medical record for ownership documentation of the equipment.
- Previous claims submitted for the same equipment to identify any ownership remarks.
- The payer's policy on equipment ownership requirements for reimbursement.