Medicare Secondary Payer Reason (MSP)

Medicare Secondary Payer Reason (MSP)

Notes
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 Insurance Policy's MSP will only auto-populate IF:

  1. The Policy's MSP field is currently empty.
  • If there is an existing value, it will not be overwritten.

OR

  1. The Insurance is configured to allow automatic updates.
  • If the AUTOUPDATEPOLICY flag is set to "N", the MSP will not update.


  • 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.

Learn More

Insurance Profiles Overview

Insurance Management

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