Corporate

January 9, 2018 - Updated 05.08.18

Medicare Secondary Payer (MSP) Status/Location R B75XX

The MSP status/location R B75XX is an MSP pre-payment location (e.g., R B7516). The claim will remain in this status/location for at least 75 days unless additional MSP information becomes available.

Providers may request claims be moved out of the R B75XX status/location if one of the following applies to your claim.

  • The Common Working File (CWF) MSP record has been updated to show that Medicare is the primary payer during the dates of service being billed; or
  • An adjustment is submitted to make Medicare secondary or tertiary.

    NOTE: CGS is aware that some providers may be unable to submit adjustments when a claim is in the R B75XX status/location.

As a reminder, it is the provider's responsibility to check Medicare beneficiary's MSP records thoroughly, take special care in noting diagnosis codes reported on claims that may impact payment determinations, and detect other factors that determine whether or not the claim is submitted in a proper and accurate manner.

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