Reason Code U680A

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 Working Aged file exists in 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 Working Aged file

Resources

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

Last Updated May 22, 2018