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
View reason code list, return to Reason Code Guidance page.
Last Updated Oct 19, 2018