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MA68 Remark Code: No Crossover, Secondary Info Incomplete

MA68 is an alert that the claim was not forwarded (crossed over) to the patient's secondary insurer because the secondary insurance information on the claim was incomplete. You need to bill the secondary yourself or supply complete details.

Quick facts

Code
MA68 (RARC MA68)
Status
Active In use since January 1, 1997; last modified April 1, 2007.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • CO (Contractual Obligation): Medicare's own adjustment stands. MA68 only affects routing to the secondary payer, not the primary payment.
  • PR (Patient Responsibility): Amounts listed as patient responsibility remain open until the secondary processes them or the patient pays.
Official description
Alert: We did not crossover this claim because the secondary insurance information on the claim was incomplete. Please supply complete information or use the PLANID of the insurer to assure correct and timely routing of the claim.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What MA68 means

MA68 is a Medicare crossover alert. When a claim lists a supplemental insurer, Medicare can forward (cross over) the processed claim so the secondary payer can consider the remaining balance. MA68 says that did not happen because the secondary insurance information on the claim was incomplete, for example a missing policy or group number or an unrecognizable insurer identity. The official text asks you to supply complete information or use the insurer’s PLANID.

Medicare’s payment decision is unaffected.

What to do

  1. Check the secondary coverage details in your system: insurer name, policy number, group number, and insured’s information (CMS-1500 items 9-9d and 11d).
  2. Bill the secondary directly with Medicare’s paid amount and adjustments, since the automatic crossover did not occur.
  3. Hold patient statements for coinsurance and deductible until the secondary responds.
  4. Fix the registration record so future claims include complete secondary data. See eligibility and COB denials.

Codes that may appear with MA68

  • PR-2 (Coinsurance Amount): Coinsurance the secondary would normally consider, which is still open because the crossover did not happen.
  • PR-1 (Deductible Amount): Deductible that remains unbilled to the supplemental plan.
  • MA18 (Alert: The claim information is also being forwarded to the patient's supplemental insurer.): The opposite outcome: the claim was successfully forwarded to the supplemental insurer.
  • MA92 (Missing plan information for other insurance.): Missing plan information for other insurance, which can block crossover or processing.
  • N89 (Alert: Payment information for this claim has been forwarded to more than one other payer, but format limitations permit only one of the secondary…): The claim was forwarded to more than one payer, with format limitations.

MA68 FAQ

Is MA68 a denial?

No. Medicare processed its part. MA68 only tells you the secondary claim was not sent automatically.

What is a PLANID?

It is an identifier for the insurer that the official text says can be used to route the claim correctly. Check what identifier your Medicare contractor expects for crossover.

How do I bill the secondary now?

Send the claim directly to the secondary payer with Medicare's payment information attached or reported electronically.