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Last Modified: 12/9/2011
Location: FL, PR, USVI
Business: Part A
U6802
Medicare Secondary Payer (MSP) indicated on claim, no direct match on auxiliary record iteration, or dates match on claim, but no direct match on MSP type.
Resources/tips to avoid or correct this reject code
Verify if Medicare is primary or secondary prior to submitting your claims. There are several ways to obtain this information:
• Have your patient complete the Medicare Secondary Payer (MSP) Questionnaire 
to help you determine if Medicare is primary or secondary.
to help you determine if Medicare is primary or secondary.• Ask the beneficiary if his or her spouse is currently working and has insurance through their employer.
• If the answer is yes, the claim must be submitted to the employer group health plan first.
• If the answer is no, the beneficiary and/or the provider will need to contact the Coordination of Benefits Contractor (COBC) at 1-800-999-1118 (Monday-Friday from 8:00 AM to 8:00 PM, ET) to have the file updated. Once the file is updated, the claim can be re-submitted to Medicare as primary.
• Direct data entry (DDE) 
users can access eligibility information by using the ELGA (eligibility A) screen.
users can access eligibility information by using the ELGA (eligibility A) screen.• Review the Centers for Medicare & Medicaid Services (CMS) Internet-only manuals (IOM), Publication 100-05, Medicare Secondary Payer (MSP) manuals. Chapter 3 -- MSP Provider, Physician, and Other Supplier Billing Requirements 
, sections 30, 40, and 50.
, sections 30, 40, and 50.Please correct and resubmit the claim.
Please use your browser's back button to return to the referring page.Source: FCSO Education Action Team
