Medicare Secondary Payor Exclusions

We have been seeing a few different exclusions related to the MSP Code, Source of Payment/Type of Insurance selections.

FK PSBR0500: MISSING INSURANCE TYPE CODE

FK PSBR0100: INVALID INSURANCE TYPE CODE

FK PSBR0509: INSURANCE TYPE CODE NOT ALLOWED

If you are receiving these exclusions you should check the following in your system:

  1. In AdvancedMD the MSP Code is set in the Insurance Tab of Patient Demographics. The MSP code should only be selected on the Medicare carrier that is Secondary. You may need to check the other carriers listed for the patient and make sure that they do not have an MSP Code selected. Again, MSP Codes should only be selected on the Secondary Medicare carrier. Click here for more information on MSP Codes.
  2. You may also need to check what Payment Source and Insurance Type have been selected for each patient’s carriers. Go to Master Files|Carriers|Carriers and select the carrier. Click EDI/Other. If the Payment Source or Insurance Type are not set correctly for each of the patient’s carriers, you may receive exclusions. For more information on setting the correct Payment Source and Insurance Type for your carriers click here.

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