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Last Modified: 5/15/2020 Location: FL, PR, USVI Business: Part A

Avoiding RTP reason code N5052 FAQ

Q: My claim was “returned to provider” (RTP) for reason code N5052. How can I prevent claims from being returned for this reason code?
Click here for descriptions associated with Medicare Part A reason codes. Enter a valid reason code into the box and click the submit button.
A: Check beneficiary eligibility prior to submitting claims to Medicare. Click here for ways to verify beneficiary eligibility. When completing the claim, make sure the patient’s name and Medicare number are submitted exactly as they appear on his/her Medicare card.
For name corrections/updates to a beneficiary’s record, the beneficiary must contact the Social Security Administration (SSA).
Sources: CMS internet-only manual (IOM) Pub. 100-04, Chapter 25 Completing and processing the form CMS-1450 data set external pdf file; CMS IOM Pub. 100-04, Chapter 2 external pdf file, Sections 10 and 30
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