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Printed Date: 9/22/2015
Answer: There are two reasons your claim may have rejected. You must correct and resubmit the rejected claim with valid and necessary information for adjudication of your claim.
Reviewing the issues below will assist in resolving rejections with Remark Code MA04: "Secondary payment cannot be considered without the identity of or payment information from the primary payer. The information was either not reported or was illegible."
Review the Palmetto GBA MSP Topic web page for additional MSP resources and the Washington Publishing Company website for Reason and Remark code descriptions.
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Last Updated: 05/04/2020