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MA106 Remark Code: PIP (Periodic Interim Payment) Claim

MA106 identifies a PIP claim: one covered by the provider's Periodic Interim Payment arrangement. Payment for these services is provided through the interim payments, and the claim is used for reconciliation.

Quick facts

Code
MA106 (RARC MA106)
Status
Active In use since January 1, 1997; last modified June 30, 2003.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • CO (Contractual Obligation): Adjustments reflect that payment for the claim is handled through PIP. It is not billable to the patient.
  • OA (Other Adjustment): Some remittances show the PIP relationship as an other adjustment rather than a payment.
Official description
PIP (Periodic Interim Payment) claim.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What MA106 means

MA106 is the counterpart to MA93. It labels a claim as falling under the provider’s Periodic Interim Payment (PIP) arrangement. With PIP, some Medicare institutional providers get regular interim payments based on estimated costs. The claims are still submitted and processed, but the cash has already been paid through PIP, so the remittance line is mostly for reconciliation and cost reporting.

Common causes

  • The provider is on PIP and the service falls within the arrangement, which is the normal situation.
  • A provider left PIP but claims continued to be labeled as PIP because contractor records were not updated.

What to do

  1. Do not treat the line as unpaid. Route it to PIP reconciliation instead of denial follow-up.
  2. Post it consistently with your PIP accounting method.
  3. Report the volume to your reimbursement team so interim payments can be adjusted if claim volume shifts.
  4. Contact the Medicare contractor if you are no longer on PIP but still see MA106.

How to prevent confusion

  • Separate PIP and non-PIP claims in your work queues.
  • Review MA93 and MA106 volume together to confirm claims are classified as expected.
  • For using remittance codes to sort work, see reading CARC and RARC codes.

Codes that may appear with MA106

  • CO-45 (Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.): A pricing adjustment on a PIP claim, with actual cash coming through interim payments.
  • MA93 (Non-PIP (Periodic Interim Payment) claim.): The opposite label: a non-PIP claim paid individually.
  • MA79 (Billed in excess of interim rate.): Billed amount exceeded an interim rate.

MA106 FAQ

Why is there no payment on a PIP claim?

Under PIP, the provider receives periodic interim payments based on estimated costs. Individual claims are processed for reconciliation rather than paid separately.

How do I post MA106 lines?

Post them against your PIP receivable according to your reimbursement team's method, not as unpaid claims to follow up.

Who uses PIP?

Certain eligible Medicare institutional providers that have a PIP arrangement with their contractor.