Medicare Secondary Payer Reason (MSP)

In order for the MSP code to be sent on a Secondary Medicare Claim, the Medicare Insurance CFI must be set to MB.

If Medicare is secondary, this is a mandatory field. If using Eligibility, the MSP will auto-populate. Otherwise, choose the Medicare Secondary Payer Reason (MSP) from the dropdown. Add this to the Medicare Policy that is secondary. Leave blank if Medicare is not secondary.

From the Add/Modify Policy screen, use the Medicare Secondary Reason dropdown list to indicate the reason Medicare is secondary.

If Medicare Eligibility is checked, the MSP field will auto populate, and the reason also can be found on the Eligibility report.

• Related Articles

• Rejection: Element SBR05 Must Contain ___ , or Claims with Medicare as Secondary Payer Require Valid MSP Type Code

  To fix this rejection: From the Patient Dashboard, go to the patient's Insurance Policy. From the Medicare Secondary Reason dropdown list, choose the reason Medicare is the Secondary Payer (MSP). The lookup contains all valid MSP reason codes. If you ...

• Map a Crossover Insurance to an Existing Insurance

  Insurance Mappings for Crossover Remits (HSA/Medicare) This applies to any Insurance where the Claim is a crossover to a secondary or tertiary Payer. Examples: Medicare and HSA plans. Insurance Plans that electronically send the claim to the ...

• Payer Rejection: Reason Not Clear

  Payer Rejection: Reason Not Clear Payer Rejection prefixes: EP: Third-Party Clearinghouse AP: Payer Contact the Payer Payer Rejections can be more difficult to read as they often do not comply with standard responses. For Payer rejections that you ...

• Manually Post a Secondary Payment like a Primary Payment

  Post a Secondary Payment as you would a Primary Payment Normally, you would not post a CO45 on a Secondary Payment. The Secondary Payment screen does not have the option to enter a CO45. However, there may be an occasion where this is necessary to ...

• Send Replacement/Corrected Claim/Delayed Reason/Void

  Send Replacement/Corrected Claim/Delayed Reason Corrected/Replacement Claims Designation of Corrected Claim and Delayed Reason Code can be sent on an ANSI (Electronic Claim). If you have not received a denial on an ERA Remit or on a Paper EOB, do not ...