Medicare Secondary Payer (MSP)

Medicare Secondary Payer (MSP) is the term used to describe when another payer is responsible for paying a beneficiary's claims before Medicare pays. Noridian protects and preserves the Medicare Trust Fund by ensuring that Medicare benefits are coordinated with all other appropriate payers and Medicare pays only when and what it should pay.

Benefits Coordination & Recovery Contractor (BCRC), GHP - View crossover claim related information

BCRC, NGHP - View when to contact BCRC and what they are unable to assist with.

Billing MSP Electronically - View Noridian Electronic Data Interchange Support Services (EDISS) guide that illustrates proper claim submission for Medicare as the secondary payer

MSP Definitions - View common MSP terms and definitions

MSP Form Locators - View form locators required for billing MSP claims

MSP Payer Types - View a list of MSP types and definitions

MSP Payment Calculation Examples - View scenarios which include primary insurance company's payment, provider's billed amount, Medicare's allowed amount, deductible, coinsurance and Medicare's payment

Obligated to Accept Field (OTAF) - View an explanation of how to determine OTAF


Last Updated Feb 16, 2018