MA111Remark Code (RARC)Active
MA111 Remark Code - Purchase Price and Lab Info Issues
The MA111 remark code indicates that there is missing, incomplete, or invalid information regarding the purchase price of the test(s) and/or the name and address of the performing laboratory. This remark supplements an adjustment already noted by a Claim Adjustment Reason Code, providing additional context for the payer's determination.
How It Relates to the Denial
The MA111 remark code typically accompanies adjustments related to claims where the purchase price or laboratory details are incorrectly provided. It signals that the initial reason code did not fully clarify the issue, necessitating this additional remark for proper understanding.
Common Scenarios
1A laboratory claim for a diagnostic test is submitted, but the remittance shows an adjustment due to an incomplete purchase price.
→ The MA111 remark suggests that the claim could not be processed correctly due to missing details about the test's purchase price, indicating that these specifics need to be reviewed.
2A claim for pathology services is received back with an adjustment indicating a denial, and the MA111 remark appears, noting issues with the performing laboratory's details.
→ The presence of the MA111 remark indicates that the payer requires accurate name and address information for the laboratory to process the claim appropriately.
3A laboratory test claim is denied for payment, and the MA111 remark is listed, pointing out issues with the purchase price of the test.
→ The remark MA111 highlights that the claim was not fully compliant due to invalid or missing purchase price information, which must be corrected for resubmission.
What to Do
- Verify and correct the purchase price of the test(s) as indicated on the claim.
- Ensure that the performing laboratory's name and address are complete and accurate on the claim.
- Resubmit the corrected claim to the payer with the updated information.
What to Check
- The claim submission details for the test(s) to confirm the purchase price.
- The laboratory's name and address in the billing records to ensure accuracy.
- The initial Claim Adjustment Reason Code associated with the adjustment for further context.