Medicare Secondary Payer (MSP) Payer Type Corrections via Noridian Medicare Portal (NMP)

Do you know if your facility, practice or billing service is utilizing the Noridian Medicare Portal (NMP) to view the Eligibility section of your patient’s payer type/value code when billing Medicare as a secondary payer? For example, billing Disability (43) when actual MSP/Payer type was Liability (47).

Denial messages related to incorrect payer type or value codes includes the following:

  • Secondary payment cannot be made, because primary insurer information is missing or incomplete.

  • RARC code: MA04 (Secondary payment cannot be considered without the identity of or payment information from the primary payer.)

  • CARC code: CO-16 (Claim/service lacks information or has submission/billing error{s}.)

Solution:

            Last Updated Fri, 15 May 2020 18:29:00 +0000