Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 50.2.3
Return Codes
50.2.3 - Return Codes
(Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22)
One of the following return codes 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
3550
Non-numeric total covered charges
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
3820
Non-numeric charges not subject to deductible and coinsurance
3830
Non-numeric charges subject to deductible
3850
Invalid from date of claim
3880
Invalid "thru-date" of claim
3900
Non-numeric Medicare payment amount
3910
Non-numeric obligated to accept
3580
Non-numeric regular coinsurance days 1st year
3590
Non-numeric regular coinsurance rate 1st year
3600
Non-numeric regular coinsurance amount 1st year
3610
Non-numeric regular coinsurance days 2nd year
3620
Non-numeric regular coinsurance rate 2nd year
3630
Non-numeric regular coinsurance amount 2nd year
3640
Non-numeric life-time reserve days 1st year
3650
Non-numeric life-time reserve rate 1st year
3660
Non-numeric life-time reserve amount 1st year
3670
Non-numeric life-time reserve days 2nd year
3680
Non-numeric life-time reserve rate 2nd year
3690
Non-numeric life-time reserve amount 2nd year
3710
Non-numeric full days
3720
Non-numeric covered days
3740
Invalid PPS indicator
3750
Non-numeric DRG amount
3760
Non-numeric direct graduate medical education
3770
Non-numeric pass thru per diem amount
3920
Non-numeric regular coinsurance days 3rd year
3930
Non-numeric regular coinsurance rate 3rd year
3940
Non-numeric regular coinsurance amount 3rd year
3950
Non-numeric regular coinsurance days 4th year
3960
Non-numeric regular coinsurance rate 4th year
3965
Non-numeric regular coinsurance amount 4th year
3985
Non-numeric regular coinsurance days 5th year
3990
Non-numeric regular coinsurance rate 5th year
4000
Non-numeric regular coinsurance amount 5th year
4010
Non-numeric regular coinsurance days 6th year
4020
Non-numeric regular coinsurance rate 6th year
4030
Non-numeric regular coinsurance amount 6th year
4040
Non-numeric life-time reserve days 3rd year
4050
Non-numeric life-time reserve rate 3rd year
4060
Non-numeric life-time reserve amount 3rd year
4070
Non-numeric life-time reserve days 4th year
4080
Non-numeric life-time reserve rate 4th year
4090
Non-numeric life-time reserve amount 4th year
4100
Non-numeric life-time reserve days 5th year
4110
Non-numeric life-time reserve rate 5th year
4120
Non-numeric life-time reserve amount 5th year
4130
Non-numeric life-time reserve days 6th year
4140
Non-numeric life-time reserve rate 6th year
4150
Non-numeric life-time reserve amount 6th year
4160
Non-numeric regular coinsurance days 7th year
4170
Non-numeric regular coinsurance rate 7th year
4180
Non-numeric regular coinsurance amount 7th year
4190
Non-numeric regular coinsurance days 8th year
4200
Non-numeric regular coinsurance rate 8th year
4210
Non-numeric regular coinsurance amount 8th year
4220
Non-numeric regular coinsurance days 9th year
4230
Non-numeric regular coinsurance rate 9th year
4240
Non-numeric regular coinsurance amount 9th year
4250
Non-numeric regular coinsurance days 10th year
4260
Non-numeric regular coinsurance rate 10th year
4270
Non-numeric regular coinsurance amount 10th year
4280
Non-numeric regular coinsurance days 11th year
4290
Non-numeric regular coinsurance rate 11th year
4300
Non-numeric regular coinsurance amount 11th year
4310
Non-numeric regular coinsurance days 12th year
4320
Non-numeric regular coinsurance rate 12th year
4330
Non-numeric regular coinsurance amount 12th year
4340
Non-numeric regular coinsurance days 13th year
4350
Non-numeric regular coinsurance rate 13th year
4360
Non-numeric regular coinsurance amount 13th year
4370
Non-numeric regular coinsurance days 14th year
4380
Non-numeric regular coinsurance rate 14th year
4390
Non-numeric regular coinsurance amount 14th year
4400
Non-numeric regular coinsurance days 15th year
4410
Non-numeric regular coinsurance rate 15th year
4420
Non-numeric regular coinsurance amount 15th year
4430
Non-numeric life-time reserve days 7th year
4440
Non-numeric life-time reserve rate 7th year
4450
Non-numeric life-time reserve amount 7th year
4460
Non-numeric life-time reserve days 8th year
4470
Non-numeric life-time reserve rate 8th year
4480
Non-numeric life-time reserve amount 8th year
4490
Non-numeric life-time reserve days 9th year
4500
Non-numeric life-time reserve rate 9th year
4510
Non-numeric life-time reserve amount 9th year
4520
Non-numeric life-time reserve days 10th year
4530
Non-numeric life-time reserve rate 10th year
4540
Non-numeric life-time reserve amount 10th year
4550
Non-numeric life-time reserve days 11th year
4560
Non-numeric life-time reserve rate 11th year
4570
Non-numeric life-time reserve amount 11th year
4580
Non-numeric life-time reserve days 12th year
4590
Non-numeric life-time reserve rate 12th year
4600
Non-numeric life-time reserve amount 12th year
4610
Non-numeric life-time reserve days 13th year
4620
Non-numeric life-time reserve rate 13th year
4630
Non-numeric life-time reserve amount 13th year
4640
Non-numeric life-time reserve days 14th year
4650
Non-numeric life-time reserve rate 14th year
4660
Non-numeric life-time reserve amount 14th year
4670
Non-numeric life-time reserve days 15th year
4680
Non-numeric life-time reserve rate 15th year
4690
Non-numeric life-time reserve amount 15th year