MA46Remark Code (RARC)ActiveInformational Alert
MA46 Remark Code - No Additional Payment Issued
The MA46 remark code indicates that the new information submitted was reviewed, but it will not result in any additional payment. This alert serves to inform the provider that their submission was acknowledged, yet the payer has determined that no further payments will be made based on that information.
What This Alert Tells You
As an informational alert, MA46 does not accompany any specific adjustment or denial reason code. It simply communicates the payer's decision regarding additional payment, indicating that no changes will occur despite the new information provided.
Common Scenarios
1A provider submitted additional documentation for a previously processed claim, hoping to receive more reimbursement. Upon review, the payer issued a remittance advice that included the MA46 remark code.
→ The MA46 remark indicates that while the payer looked into the new documentation, they have decided not to issue any further payment for that claim.
2An appeal was filed with new evidence supporting a higher reimbursement for a service, but the remittance advice returned included the MA46 remark code.
→ This means that the appeal was considered, but the payer concluded that it did not warrant any additional payment, as reflected by the MA46 alert.
3A facility submitted a claim with an adjustment request and later sent supporting documentation. The remittance advice received back included the MA46 remark code.
→ The MA46 alert informs the facility that the supporting documentation was taken into account, but the payer will not be adjusting the payment amount.
What to Do
- Do not resubmit the claim or additional documentation based on this remark, as it indicates no further payment will be made.
- Review the initial claim and the new information to understand why the payer did not authorize additional payment.
What to Check
- The initial claim submission and any accompanying documentation to ensure all information was accurately provided.
- The remittance advice details for any other remarks or codes that may provide additional context regarding the payment decision.
- The payer's policies regarding the review process for additional information submitted, to clarify their decision-making criteria.