MA45Remark Code (RARC)ActiveInformational Alert
MA45 Remark Code - Payment Held Alert
The MA45 remark code indicates that part or all of your payment is currently being retained in a designated account. This alert serves as a notification rather than a denial, suggesting that there are funds on hold for some reason, but it does not specify any action required on your part.
What This Alert Tells You
As an alert, MA45 does not accompany any specific adjustment or reason code. Instead, it provides informational context regarding the status of your payment without indicating a denial or the need for correction.
Common Scenarios
1A provider submitted a claim for a surgical procedure, and the payment received shows a portion withheld with an MA45 remark.
→ This means that the payer is holding some funds related to the surgical claim in a special account, possibly pending further review or documentation.
2After billing for a series of outpatient services, the provider receives an 835 with MA45, indicating a total payment amount but with a portion noted as held.
→ The MA45 alert indicates that the payer has chosen to hold a segment of the payment, which may relate to ongoing assessments or requirements for the services billed.
3A facility submitted multiple claims for inpatient care, and the remittance advice includes MA45, indicating a portion of the total payment is held back.
→ The presence of MA45 suggests that the payer has placed funds in a special account, likely for reasons not detailed in the remittance advice.
What to Do
- Do not take any action regarding resubmission or appeals based on this alert.
- Monitor future remittance advices for updates on the status of the held payment.
What to Check
- Review the remittance advice for any additional notes or explanations regarding the hold.
- Check the provider's contract terms with the payer for any stipulations about payment holds.
- Verify any ongoing claims or documentation requirements that may influence payment status.