RARC MA04
Primary payer information missing
A secondary claim arrived without the primary payer's identity or payment details, so it cannot be considered.
Why you actually get this
- The primary remittance was not attached to the secondary claim.
- The primary payer's details are absent from the claim.
- The claim was sent as secondary before the primary adjudicated.
How to check whether it’s correct
- 01Confirm the primary has adjudicated and you hold the remittance.
- 02Verify the primary payer's details are populated on the secondary claim.
Usually worth appealing
Straightforwardly correctable. Attach the primary remittance and resubmit. This travels with CARC 22 or 23 most of the time.
Often arrives with
Seeing a lot of these?
A single denial is a claim to work. A pattern of the same denial is a process to fix, and the two need completely different responses. A free panel reads ninety days of your claims data and shows which codes actually recur for you.
Remittance Advice Remark Codes are External Code List 411, maintained by CMS and published by X12. The official description of this code is theirs and is not reproduced here. Check the authoritative list for current wording and status.