How To Fix Remark Code M132 (RARC) | Common Reasons, Next Steps & How To Avoid It
Remark Code MA16 means that the patient is covered by the Black Lung Program and the claim needs to be sent to the Department of Labor, Federal Black Lung Program. This code is used to indicate that the claim should be directed to the appropriate program for processing and payment.
1. Description
Remark Code MA16 indicates that the patient is covered by the Black Lung Program. The official description states: ‘The patient is covered by the Black Lung Program. Send this claim to the Department of Labor, Federal Black Lung Program, P.O. Box 828, Lanham-Seabrook MD 20703.’ This remark code is specific to patients who are eligible for benefits under the Black Lung Program.
2. Common Reasons
- Patient eligibility for the Black Lung Program: The most common reason for Remark Code MA16 is that the patient is covered by the Black Lung Program. This program provides benefits to coal miners and their dependents who have been diagnosed with black lung disease.
3. Next Steps
- Send the claim to the Department of Labor: In order to ensure proper processing and payment, the claim should be sent to the Department of Labor, Federal Black Lung Program. The address to send the claim is P.O. Box 828, Lanham-Seabrook MD 20703.
4. How To Avoid It
- Verify patient eligibility: Before submitting a claim, it is important to verify whether the patient is covered by the Black Lung Program. This can be done by checking the patient’s insurance information or contacting the program directly.
- Follow the correct claim submission process: To avoid Remark Code MA16, make sure to follow the specific instructions provided by the Department of Labor, Federal Black Lung Program for claim submission. This may include using specific forms or including additional documentation.
5. Example Cases
- Case 1: A claim for medical services is submitted for a patient who is covered by the Black Lung Program. The claim is correctly sent to the Department of Labor, Federal Black Lung Program for processing and payment.
- Case 2: A claim for prescription medication is submitted for a patient who is not covered by the Black Lung Program. The claim is denied with Remark Code MA16, indicating that it should be sent to the appropriate program for processing.
Source: Remittance Advice Remark Codes
