MSP
The "MSP" sub-tab is populated if the beneficiary has a payer that process claims primary to Medicare. This sub-tab displays only active MSP data and will not be listed if there is no MSP data or if notification of coverage primary to Medicare has not been received by CMS.
NOTE: If a date range is entered on the "Inquiry" screen, it will affect the MSP data returned.
The table below describes the "MSP" sub-tab fields:
Field Name | Description |
---|---|
Maintenance Date |
The date maintenance was last performed on the record |
Patient Relationship |
Identifies if the patient is the actual insured |
Group Number |
Identifies the MSP Insurance Group Number or the MSP Date of Loss.
|
Policy Number |
The primary insuring organization's policy number for the Medicare beneficiary |
Effective Date |
The start date of the primary insurer's coverage |
Termination Date |
The termination date of the primary insurer's coverage. No date in this field means primary insurance coverage has not terminated. |
Type of Primary Insurance |
12 = Medicare Secondary – Working aged beneficiary or spouse with employer group health plan |
Diagnosis Codes |
Lists specific diagnosis codes associated with MSP insurance types, such as Workers' Compensation (WC), automobile, and liability situations. If the patient has MSP records based on diagnoses, the specific ICD-10 codes will display for your reference. |
Address |
The address line 1 of the insurance company |
Address 2 |
The address line 2 of the insurance company |
City |
The city of the insurance company |
State |
The state of the insurance company |
ZIP Code |
The ZIP code of the insurance company |