RARC MA07: Alert: This claim has been forwarded to the patient's additional plan
Your insurer has automatically sent this claim to your secondary insurance for additional processing.
What this means for your claim
When coordination of benefits is set up correctly, the primary insurer will automatically cross-over the claim to the secondary payer. This remark confirms that happened.
What to do next
- 1
Wait for a second EOB from your secondary insurer.
- 2
If you don't receive a secondary EOB within 30 days, contact your secondary insurer to confirm they received the claim.
- 3
Do not pay the provider until both EOBs are received and you know your total patient responsibility.
How to use a remark code on your EOB
Remittance Advice Remark Codes (RARC) don't usually create a charge on their own. Instead they add context to an accompanying adjustment code — explaining why a claim was reduced, what additional information is needed, or what action the provider or patient must take. Read a remark code as a clue: it tells you what to ask about and where the real issue lives.
Pair the remark with its adjustment code
A remark code almost always travels alongside a CARC adjustment. Look at the two together on your EOB — the adjustment tells you the dollar impact, and the remark tells you the underlying reason. Resolving the issue means addressing the adjustment, using the remark as your guide.
Act quickly when a remark requests information
Some remark codes signal that the insurer needs additional records, an itemized bill, or proof of timely filing before they'll pay. These often carry deadlines. If the request is the provider's to fulfill, follow up with their billing office; if it's yours, send what's asked for promptly so the claim can be reprocessed.
Keep a written record of every follow-up
Because remark codes frequently kick off a back-and-forth between you, the provider, and the insurer, write down dates, names, and reference numbers for every call. That record is what makes a later appeal credible if the claim isn't resolved in your favor.
Your appeal rights for RARC MA07
If a remark code points to a reduced or denied payment that you believe is wrong, treat it the same way you'd treat the adjustment it accompanies: request a written explanation, supply any information the insurer asked for, and file a formal internal appeal if the issue isn't resolved. Your ACA appeal rights — internal review and then independent external review — apply here too.
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