MA117Remark Code (RARC)Active
MA117 Remark Code - User Fee Explained
The MA117 remark code indicates that a user fee of $1.00 has been assessed on the claim. This remark supplements an accompanying adjustment reason code, providing additional context for the fee applied to the claim.
How It Relates to the Denial
Typically, MA117 accompanies adjustment reason codes that pertain to fees assessed on claims. The combination of this remark with a reason code signals that a specific fee has been applied, which may require further review or clarification from the provider.
Common Scenarios
1A provider submitted a claim for a routine office visit and received a remittance showing a deduction for a user fee.
→ The MA117 remark clarifies that the $1.00 deducted from the payment is due to a user fee assessed on the claim.
2A facility billed for a diagnostic procedure and the remittance showed an adjustment with a user fee applied.
→ The MA117 remark indicates that this claim has incurred a $1.00 user fee, which supplements the adjustment reason code already provided.
3A claim for physical therapy services was processed, and the remittance included a deduction for a user fee.
→ The MA117 remark informs the biller that the deduction is specifically a $1.00 user fee associated with the claim.
What to Do
- Review the accompanying reason code to understand the context of the adjustment.
- Verify the user fee amount to ensure it aligns with the remittance details and adjust any records if necessary.
What to Check
- The remittance advice for the specific claim in question.
- The accompanying reason code for additional context on the adjustment.
- Provider agreements or fee schedules to confirm the legitimacy of the user fee.