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Last Modified: 12/9/2011
Location: FL, PR, USVI
Business: Part B
MSP (claims denied for other insurance as primary)
Before submitting a claim to Medicare:
• Have your patient complete the Medicare Secondary Payer (MSP) Questionnaire 
to help you determine if Medicare is the primary or secondary payer.
to help you determine if Medicare is the primary or secondary payer.• Check the patient’s eligibility, including if Medicare is a secondary payer, via the IVR.
• If Medicare is secondary, the IVR will list the following MSP details:
1. Type of primary insurance
2. Effective and termination date for all valid Insurers for a current or previous date of service.
If you receive a denial:
• Contact the patient to determine if any change has occurred in their insurance status. You can complete the Medicare Secondary Payer (MSP) Questionnaire to help you determine if Medicare is primary or secondary. If so, update the insurance information on your files for all future claims.
to help you determine if Medicare is primary or secondary. If so, update the insurance information on your files for all future claims.• Also, you may contact the Coordination of Benefits Contractor (COBC) to update the patient’s files by conducting a conference call with the patient. Contact the COBC at 1-800-999-1118.
• Complete the free WBT titled Medicare Secondary Payer (MSP): Beyond the Basics -- Part B via the FCSO Medicare training website at www.fcsouniversity.com .
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Please use your browser's Source: FCSO Education Action Team
