MA100Remark Code (RARC)Active
MA100 Remark Code - Missing Date of Current Illness
The MA100 remark code indicates that the claim has a missing, incomplete, or invalid date of the current illness or symptoms. This remark serves as a supplementary explanation to an adjustment already detailed by a Claim Adjustment Reason Code on the remittance advice.
How It Relates to the Denial
The MA100 remark typically accompanies adjustment reason codes that indicate a denial or reduction in payment due to insufficient date information. This combination signals that the payer requires specific date details to process the claim appropriately.
Common Scenarios
1A provider submitted a claim for an office visit related to a patient’s ongoing health issue but did not include the date when the current symptoms began. The remittance advice returned with a denial and the MA100 remark code.
→ The MA100 indicates that the payer could not process the claim due to the absence of a key date, specifically the date of the current illness or symptoms. The provider needs to supply this date for the claim to be reconsidered.
2A claim for physical therapy services was submitted, but the date of the current symptoms was either missing or incorrectly formatted. The remittance advice included the MA100 remark along with an adjustment reason code for denial.
→ The MA100 suggests that the payer found the date of current illness or symptoms to be invalid or incomplete. The provider must ensure that this date is correctly documented and resubmit the claim.
3A hospital billed for a patient's treatment but failed to include a clear date of the current illness in the documentation. The MA100 remark code appeared on the remittance advice with an associated adjustment reason code indicating a payment reduction.
→ The MA100 remark points to the need for a valid date of the current illness or symptoms. The hospital must provide this information to address the payer's requirements.
What to Do
- Review the claim submission for the date of current illness or symptoms and ensure it is present and correctly formatted.
- If missing, obtain the correct date from the patient's medical records and resubmit the claim.
- If the date is present but formatted incorrectly, correct it according to standard date formats and resubmit.
What to Check
- The claim documentation to verify if the date of current illness or symptoms is included and accurate.
- The patient's medical record to confirm the correct date of symptoms.
- The remittance advice for the specific adjustment reason code that accompanies MA100 to understand the context of the denial.