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Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
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Last Modified: 5/7/2020 Location: FL, PR, USVI Business: Part A

MSP claim rejection FAQ

Q. If a claim is rejected for Medicare as a secondary payer (MSP) and the common working file (CWF) is updated, what action should be taken on the claim?
A. Follow the guidelines below if your claim falls within the status outlined:
If your claim has rejected ("R" status), you should be able to adjust the claim and resubmit through your electronic software.
If the claim has been returned to provider ("T" status), you should correct the errors and resubmit through your electronic software.
Remember you can only void/cancel a paid claim.
Source: The Centers for Medicare & Medicaid Services (CMS) internet-only manual (IOM) Pub. 100-05, chapter 6 external pdf file
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