RARC MA04 Active Supplemental

RARC MA04: Primary Payer Information Missing for Secondary Claim

What This Means

The secondary payer cannot process this claim because primary payer information is missing, incomplete, or illegible. Obtain the primary payer's EOB or remittance showing payment details and resubmit the claim with complete coordination of benefits data. Ensure the primary payer's ID and payment amount are clearly reported.

Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines.

Commonly Paired With

RARC MA04 commonly appears alongside these CARC denial codes:

Code Name
CO-22 Care Covered by Another Payer (COB) →
OA-23 Impact of Prior Payer Adjudication →
CO-61 Second Surgical Opinion Not Obtained →
CO-78 Non-Covered Days / Room Charge Adjustment (also PR-78, OA-78) →
CO-112 Service Not Furnished Directly or Not Documented →
CO-116 Advance Indemnification Notice Requirements Not Met →
CO-129 Prior Processing Information Incorrect →
CO-163 Attachment/Documentation Not Received →
CO-B12 Services Not Documented in Medical Records (also OA-B12) →

Sources

  1. X12.org