Remark code MA108 indicates that the paper claim submission includes multiple data entries in field 23, which should only contain a single data item. This error suggests that the claim form has been filled out incorrectly and needs to be revised to comply with the proper claim submission guidelines.
Common causes of code MA108 are typically related to errors in the submission of paper claims where field 23, which is designated for prior authorization numbers, contains multiple data entries instead of a single authorization number. This can occur due to:
1. Manual data entry errors where the person filling out the claim form inadvertently includes additional numbers or information not relevant to the prior authorization.
2. Misinterpretation of the form instructions, leading to the inclusion of other identifiers such as referral numbers or additional authorization codes that are not required in this specific field.
3. System-generated errors if the paper claim is a printout from an electronic system that incorrectly populates field 23 with more than one piece of data.
4. Miscommunication between healthcare providers and billing staff, resulting in the incorrect assumption that multiple pieces of information are necessary in field 23 for claim processing.
To prevent code MA108, it is crucial to ensure that only the correct prior authorization number is entered into field 23 of the paper claim form.
Ways to mitigate code MA108 include ensuring that each paper claim form is filled out correctly, with only one data item entered into field 23. It's important to review the claim form instructions carefully to understand what specific information is required in this field. Implementing a double-check system where a second person reviews the claim before submission can help catch errors. Additionally, consider transitioning to electronic claims submission if possible, as this often includes built-in validations that prevent multiple data items from being entered in a single field. Regular training for staff on proper claim form completion can also reduce the likelihood of this error.
The steps to address code MA108 involve reviewing the paper claim to identify the multiple data items that have been entered into field 23. Once identified, separate the data items and resubmit them as required by the payer's guidelines. If only one data item is necessary, determine which is the correct one to include, remove any extraneous information, and resubmit the claim. Ensure that all other fields are completed correctly to prevent further delays in processing. It may also be beneficial to transition to electronic claims submission if possible, as this can help reduce the likelihood of such errors occurring in the future.