How To Fix Remark Code M153 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code MA39 means that there is missing, incomplete, or invalid gender information in the claim. This code is used to indicate the reason for denial or adjustment of a claim related to gender-related data.

1. Description

Remark Code MA39 indicates that there is missing, incomplete, or invalid gender information in the claim. The official description states: ‘Missing/incomplete/invalid gender.’ Gender information is an essential component of patient demographics and is necessary for accurate identification and proper billing. Ensuring that gender information is complete and accurate is crucial for effective healthcare management.

2. Common Reasons

1. Missing gender information: Sometimes, the gender field is left blank or not included in the claim, leading to the MA39 remark code.
2. Incomplete gender information: In some cases, the gender field may be partially filled or contain incorrect or ambiguous data, resulting in the MA39 remark code.
3. Invalid gender information: If the gender information provided does not match the recognized values (e.g., male, female, other), the claim may receive the MA39 remark code.

3. Next Steps

1. Review the claim for missing gender information: Carefully examine the claim to ensure that the gender field is completed accurately.
2. Verify the completeness of gender information: Double-check that the gender field is fully filled and does not contain any ambiguous or incorrect data.
3. Correct any invalid gender information: If the gender provided does not match the recognized values, update the claim with the appropriate gender information.

4. How To Avoid It

1. Ensure gender information is included in the claim: Make sure that the gender field is not left blank or omitted from the claim.
2. Double-check the accuracy of gender information: Verify that the gender field is completed correctly and does not contain any errors or ambiguities.
3. Use recognized gender values: Provide gender information using the accepted values (e.g., male, female, other) to avoid triggering the MA39 remark code.

5. Example Cases

1. Case 1: A claim is denied because the gender field is left blank, highlighting the importance of completing all required information.
2. Case 2: A claim adjustment occurs due to an invalid gender value provided, emphasizing the need for accurate and recognized gender information.

Source: Remittance Advice Remark Codes