Receiving a claim denial marked with Remark Code MA67 – “Correction to a prior claim” can disrupt your billing operations and impact cash flow. For practice managers, healthcare providers, and clinic owners, understanding the root causes and implementing proactive solutions is essential for maintaining a healthy revenue cycle.
🚨 Common Triggers for MA67 Denials
Understanding the most frequent causes of MA67 denials empowers your practice to prevent revenue leaks:
- Demographic Errors: Misspelled names, incorrect DOBs, or insurance IDs.
- Duplicate Claim Submissions: Resubmitting claims without necessary corrections.
- Expired or Incorrect Insurance Details: Missing payer updates from patient charts.
- Payer Confusion: Wrong coordination of benefits between primary and secondary insurers.
- Late Claim Filing: Submissions outside the allowable timeframe.
- Provider Data Issues: NPI mismatches or credentialing inconsistencies.
- Non-Covered Services: Billing for services outside policy coverage.
- Missing Documentation: Insufficient chart notes or clinical records.
💡 Pro Tips to Avoid MA67 Denials
Here’s how to make your revenue cycle bulletproof:
1. Implement Pre-Submission Scrubbing
Use claim scrubbers to catch errors before they reach payers.
2. Double Down on Verification
Cross-check patient demographics, payer details, CPT/ICD codes, and NPI data.
3. Stay Timely and Organized
Set up reminders for timely filing limits across different payers and track corrections.
4. Boost Documentation Practices
Ensure clinicians submit complete, legible, and properly coded encounter notes.
5. Train Staff on Payer Requirements
Educate your team about payer-specific correction processes and denial appeals.
🤝 Partner with Claims Med – Your RCM Experts
Tired of chasing claim corrections? At Claims Med, we specialize in reducing denials and maximizing your collections. Our expert team handles everything from denial management to clean claim submission, letting you focus on patient care—not paperwork.