You are using an unsupported browser. Please update your browser to the latest version on or before July 31, 2020.
close

Medicare as Secondary Payor - MSP

When a patient hs Medicare Part B as secondary payor, apart from primary remittance information, you also need to send in the MSP type. this information can be entered in Insurance Entry screen under Group # / MSP Code for the Medicare Patient Insurnace record.

 

 

The code is usually available to you on Medicare payer site or you cna obtain that by calling Medicare. There are nine different types of MSPs. Below is a list with each of their respective reason type codes.

  • 12 – Working Aged Beneficiary or Spouse with Employer Group Health Plan
  • 13 – End-Stage Renal Disease Beneficiary in the 30-Month Coordination Period with an Employer’s Group Health Plan
  • 14 – No-fault insurance, including auto, is primary (any no-fault insurance)
  • 15 – Workers Compensation
  • 19 – Workers Compensation Medicare Set-Aside Arrangements (WCMSA)
  • 41 – Black Lung
  • 42 – Veteran’s Administration (VA)
  • 43 – Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)
  • 47 – Other Liability insurance is primary

 

While generating the claim, ReLiMed PM system will take the information from the above field and transmit it with the claim