Medicare Secondary Payer (MSP) Work-Related Injury or Illness - JE Part B
Medicare Secondary Payer (MSP) Work-Related Injury or Illness
| CARC/RARC | Description |
|---|---|
| CO-19 | This is a work-related injury/illness and thus the liability of the Worker's Compensation Carrier. |
| M418 | Misrouted claim. See the payer's claim submission instructions. |
Common Reasons for Message
- Medicare Secondary Payer (MSP) insurance type not present
- Incorrect insurer type
- Diagnosis codes match the Common Working File
Next Step
- Claim may be resubmitted with corrected information
- Verify correct MSP insurance type was submitted in loop 2000B SBR02
- An MSP form can be submitted.
- Fill out the top half, and in the "Reason for Request," indicate that the claim does not relate to the work-related injury or illness.
Claim Submission Tips
- Verify patient's eligibility via the Noridian Medicare Portal
- If there is a problem with file, patient will need to contact the Benefits Coordination & Recovery Center (BCRC) at 1-855-798-2627 to make necessary corrections
- Verify that all necessary primary information is correctly submitted on claim
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