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MA48 - Denial Journal
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RARC

MA48

RARC Coordination of Benefits
Quick Facts
Code
MA48
Type
RARC
Category
Coordination of Benefits
Status
Active

What Does This Code Mean?

The claim is missing, incomplete, or has an invalid name or address of responsible party or primary payer.

Common Causes

  • Another payer is primary and wasn't billed first
  • COB information on file with the payer is outdated
  • Primary payer's EOB not included with the secondary claim

Recommended Next Steps

  1. Confirm the correct primary/secondary order with the patient and payer
  2. Bill the primary payer first if not already done
  3. Attach the primary payer's EOB/835 information when billing secondary

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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