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Last Modified: 11/9/2011
Location: FL, PR, USVI
Business: Part A
Avoiding reject reason code U5200 FAQ
Q: We have received claim rejects for reason code U5200 advising the patient has no Part A entitlement. How can we verify the patient's eligibility?
A: Remember to check beneficiary eligibility prior to submitting the claims to your Medicare contractor. Here are some additional ways to obtain this information:
1. Direct data entry (DDE) 
users can access the eligibility information by using the ELGA (Eligibility Part A) screen.
users can access the eligibility information by using the ELGA (Eligibility Part A) screen.2. Contact the interactive voice response (IVR) system by calling (877) 602-8816.
system by calling (877) 602-8816.Always remember to check beneficiary eligibility prior to submitting claims to Medicare.
Definition:
Reject reason code U5200
No entitlement - there is no record of the beneficiary's entitlement to the type of services shown on the claim.
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