MA58Remark Code (RARC)Active
MA58 Remark Code - Release of Information Indicator Issue
The MA58 remark code indicates that there is a missing, incomplete, or invalid release of information indicator associated with the claim. This code supplements an adjustment already noted by the accompanying reason code, pointing to a specific deficiency in the documentation required for processing the claim.
How It Relates to the Denial
Typically, the MA58 remark code accompanies adjustment reason codes related to documentation issues or compliance with information release standards. The combination signals that the claim cannot be processed properly due to a lack of necessary permissions or information releases.
Common Scenarios
1A claim for a diagnostic procedure was submitted, but the remittance came back with an adjustment indicating a documentation issue.
→ The MA58 remark code suggests that the release of information indicator is either missing or invalid, which means the payer cannot verify consent to share necessary patient information.
2A provider submitted a claim for mental health services, and the remittance included an adjustment for insufficient documentation.
→ In this case, the MA58 remark code highlights that the release of information indicator must be reviewed and corrected to comply with payer requirements.
3A hospital billed for a surgical procedure, and the remittance indicates that the claim is denied due to missing information.
→ The appearance of the MA58 remark code indicates that the hospital needs to ensure that all required releases of information are complete and valid for the claim to be processed.
What to Do
- Review the release of information documentation associated with the claim.
- Ensure that the release of information indicator is completed accurately on the claim form.
- Submit corrected documentation if necessary to fulfill the payer’s requirements.
What to Check
- The claim form to verify the release of information indicator field is completed correctly.
- Any consent forms signed by the patient for the release of their medical information.
- The payer’s policy on required documentation for the specific service billed.