MA36: Missing/incomplete/invalid patient name
The patient name field on the claim is blank, garbled, or does not match the payer's enrollment records closely enough to process.
Corrective actions
- 1
Confirm the patient's legal name
Match the name exactly as it appears on the insurance card or eligibility response, including suffixes and correct spelling.
- 2
Resubmit as a corrected claim
Correct the patient name field and resubmit; verify the fix by rechecking eligibility before sending.
Denial codes it is usually paired with
MA36 is the detail behind a CARC rather than an adjustment in its own right. These are the denial codes our dataset records it alongside.
Retrieved 2026-07-18.
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Denial7 provides billing and administrative guidance based on published CMS and X12 sources. It is not medical advice, not a coverage determination, and not a guarantee of payment. NCCI and MUE edits are republished quarterly and payer policies vary by contract. Always confirm against the payer's own current policy before submitting or appealing.