How To Fix Remark Code M137 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code MA21 means that there is a mismatch between the name and sex in the SSA records. This code is used to indicate discrepancies in the information provided, which can lead to denial or adjustment of a claim. It is important to address this issue promptly to ensure accurate processing of claims.

1. Description

Remark Code MA21 signifies that there is a mismatch between the name and sex in the SSA (Social Security Administration) records. This discrepancy can occur when the information provided on the claim does not align with the records maintained by the SSA. The official description states: ‘SSA records indicate mismatch with name and sex.’ This issue can lead to claim denials or adjustments, highlighting the importance of resolving it promptly.

2. Common Reasons

1. Inaccurate information provided: The name and sex provided on the claim do not match the records maintained by the SSA. This can occur due to typographical errors, data entry mistakes, or outdated information.
2. Changes in personal information: If an individual has legally changed their name or undergone a gender transition, it is crucial to update the SSA records to ensure consistency.
3. Identity theft or fraud: In some cases, a mismatch between the name and sex in the SSA records may be an indication of identity theft or fraudulent activity. It is essential to investigate and resolve such cases promptly.

3. Next Steps

1. Contact the SSA: Reach out to the SSA to verify the accuracy of the information in their records and request any necessary updates or corrections.
2. Provide supporting documentation: If there has been a legal name change or gender transition, provide the appropriate documentation to the SSA to ensure accurate record-keeping.
3. Investigate potential identity theft or fraud: If there are suspicions of fraudulent activity, report the issue to the appropriate authorities and take necessary steps to protect personal information.

4. How To Avoid It

1. Double-check information: Ensure that the name and sex provided on the claim match the records maintained by the SSA before submission.
2. Update personal information promptly: If there have been any changes in name or gender, notify the SSA and update the records accordingly.
3. Monitor for potential identity theft: Regularly review personal records and statements for any signs of unauthorized activity or discrepancies.

5. Example Cases

1. Case 1: A claim is denied due to a mismatch between the name and sex in the SSA records. Upon investigation, it is discovered that the individual recently underwent a gender transition but failed to update their information with the SSA.
2. Case 2: A claim adjustment occurs because the name provided on the claim does not match the records maintained by the SSA. Further investigation reveals that the individual’s identity has been compromised, leading to potential identity theft.

Source: Remittance Advice Remark Codes