How we can submit the secondary claims by electronic
Insurance primary to Medicare should be reported in Items 4, 6, 7, 10 (a-c) and 11 (a-c). For electronic claims only, it is imperative the correct two-digit Medicare Secondary Payer (MSP) insurance type code is reported. Reporting the incorrect MSP type will result in claim denials.
Here i have listed the MSP Type and its description. We need to choose the correct one else claim will be denied.
1. 12 – Working Aged Beneficiary (over age 65) or Spouse with Employer Group Health Plan (EGHP)
2. 13 – End-Stage Renal Disease (ESRD) Beneficiary in the twelve Month Coordination Period with an
Employer’s Group Health Plan
3. 14 – No-fault Insurance Primary including Auto (any no-fault insurance)
4. 15 -Worker’s Compensation
5. 43 – Disabled Beneficiary (under age 65) with Large Group Health Plan (LGHP
6. Other Liability Insurance is Primary (other types of accidents)
