Reason Code 31265

Reason Code Narrative

CLAIM IS SUBMITTED OR UPDATED VIA DDE AND THE PAYER CODE IS NOT EQUAL TO 'Z'.

Common Reason Code Errors

  • A Medicare Secondary Payer (MSP) claim has been submitted directly through DDE system or an attempt to correct a claim in Returned To Provider (RTP) has been made directly through DDE system

Common Reason Code Corrections

  • MSP claims must be submitted through an electronic system other than DDE. If an MSP claim submitted through an electronic system has RTP'd, a new claim with appropriate corrections must be submitted through an electronic system other than DDE

Resource

View reason code list, return to Reason Code Guidance page.

 

Last Updated Oct 19, 2018