Return Codes

50.1.3 - Return Codes (Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22) One of the following codes is returned to the A/B MAC (Part B) system, which indicates the results from processing secondary payment computation and savings. These codes are also referenced in the technical documentation released with the MSPPAY modules. Return Code Description 3010 Claim is fully paid 3020 Claim is partially paid 3030 Line of service denied 3500 Invalid MSP value code 3510 Invalid number of other payers 3520 Non-numeric MSP amount 3530 MSP amount equals zeros 3540 Invalid record identification 3545 Non-numeric Gramm-Rudmann-Hollings percent 3560 Non-numeric blood deductible 3570 Non-numeric cash deductible 3700 Non-numeric total coinsurance amount 3730 Non-numeric Medicare primary payment 3780 Non-numeric provider payment amount 3790 Non-numeric patient payment amount 3800 Invalid assignment indicator 3805 Invalid par indicator 3810 Non-numeric other payer allowed amount 3820 Non-numeric charges not subject to deductible and coinsurance 3830 Non-numeric charges subject to deductible Return Code Description 3840 Non-numeric psychiatric charges 3880 Invalid "thru-date" of claim 3890 Non-numeric Medicare reasonable charge/fee schedule 3910 Non-numeric obligated to accept 3920 Non-numeric total actual charges 3930 Non-numeric limited fee 3940 Non-numeric limited charge 3950 Limited fee equal zeros 3960 Limited charge equal zeros