Reason Code U680B - JE Part A
Reason Code U680B
Reason Code Narrative
THIS RECORD CONTAINS NO MSP AND AN MSP AUXILIARY RECORD EXISTS AT THE HOST. A COMPARE OF THE 03 TRAILER HAS BEEN COMPLETED AND THE FIRST OCCURRENCE WITH A ‘Y' OR ‘I' VALIDITY AND THE CLAIM DATES OF SERVICE ARE WITHIN THIS PAYORS EFFECTIVE AND TERMINATION DATES.
Common Reason Code Errors
- Claims are billed Medicare primary; however, an open ESRD file exists on CWF.
Common Reason Code Corrections
- Collect primary insurer information from beneficiary and resubmit claim with correct primary payer and Medicare as secondary payer.
- If beneficiary no longer has other primary insurance, contact Benefits Coordination and Recovery Center (BCRC) to update ESRD file.
- CMS Internet Only Manual (IOM), Publication 100-05, Medicare Secondary Payer Manual, Chapter 3
- Benefits Coordination & Recovery Center (BCRC)
View reason code list, return to Reason Code Guidance page.
Last Updated Wed, 26 Feb 2020 14:53:42 +0000