Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesMA75MA76MA77MA79MA80MA81MA83DescriptionMissing/incomplete/invalid patient or authorized representativesignature.Start: 01/01/1997 | Last Modified: 02/28/2003Notes: (Modified 2/28/03)Missing/incomplete/invalid provider identifier for home health agency orhospice when physician is performing care plan oversight services.Start: 01/01/1997 | Last Modified: 02/28/2003Notes: (Modified 2/28/03, 2/1/04)Alert: The patient overpaid you. You must issue the patient a refundwithin 30 days for the difference between the patient's payment less thetotal of our and other payer payments and the amount shown as patientresponsibility on this notice.Start: 01/01/1997 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)Billed in excess of interim rate.Start: 01/01/1997Informational notice. No payment issued for this claim with this notice.Payment issued to the hospital by its intermediary for all services forthis encounter under a demonstration project.Start: 01/01/1997Missing/incomplete/invalid provider/supplier signature.Start: 01/01/1997 | Last Modified: 02/28/2003Notes: (Modified 2/28/03)Did not indicate whether we are the primary or secondary payer.Start: 01/01/1997 | Last Modified: 08/01/2005Notes: (Modified 8/1/05)27