Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 50.2.3

Return Codes

Last amended: 2022Year: 2022Length: 815 wordsOfficial source
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
Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 50.2.3: Return Codes | Justis AI