Reason Code 22 | Remark Codes MA04

Code Description
Reason Code: 22 This care may be covered by another payer percoordination of benefits
Remark Codes: MA04 Secondary payment cannot be considered without theidentity of or payment information from the primary payer. The information waseither not reported or was illegible


Common Reasons for Denial

  • This claim appears to be covered by a primary payer. The primary payerinformation was either not reported or was illegible

Next Step

  • Correct claim and resubmit as a new claim

How to Avoid Future Denials

  • Always verify eligibility and ask the Medicare Secondary Payer Questions
  • If Medicare is secondary, ensure that primary payer information is included on claim and is legible
  • If the beneficiary believesMedicare should be primary, that may be requested by the beneficiary, bycontacting the Benefits Coordination and Recovery Center (BCRC) at 1-855-798-2627


Last Updated Fri, 16 Oct 2020 18:42:10 +0000