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

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


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

Or


CLEARINGHOUSE REJECTED
A7:0
For Medicare Secondary Claims, the Secondary Insurance Type Code must be one of the following 12,13,14,15,16,41,42,43, or 47. Insurance Type Code Mandatory for MSP claims Element


To fix this rejection:

From the Patient or Encounter Dashboard, go to the Patient's Insurance Policy.

  1. In the Policy Breakdown panel on the Encounter or Patient Dashbaord, select Medicare that is in the secondary position.
  2. In 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 check eligibility, the reason is stated in the Eligibility Report. 
  1. Select Save [F2].

    

  1. On the Encounter Dashboard, change the Claim Status to Ready for Submission/Resubmission.







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