Last Modified: 8/3/2022
Location: FL, PR, USVI
Business: Part A
The MSP status/location- R/P B75XX is an MSP post-payment location (e.g., R B7516). The claim will remain in this status/location for at least 75 calendar days unless additional MSP information becomes available.
It is the provider's responsibility to check Medicare beneficiary's MSP records thoroughly, take special care in noting diagnosis codes reported on claims that may impact payment determinations, and detect other factors that determine whether the claim is submitted in a proper and accurate manner.
Providers should not submit an adjustment while the reference (XREF) DCN is still in post pay status locations (xB75xx).
After the post pay claim finalizes in status location xB999x the provider can then submit an adjustment.
Any adjustment submitted prior to payment floor will receive reason code 30928: an adjustment is being processed against a record in a post pay location and will continue to receive the reason code 30928 until the original claim moves to a finalized location.
Providers may request claims be moved out of the “R/P-B75XX” status/location if one of the following applies to your claim:
1. The Common Working File (CWF) MSP record has been updated to show that Medicare is the primary payer during the dates of service being billed; or
2. An adjustment is submitted to make Medicare secondary or tertiary.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.