Overview of Electronic Secondary Claims (COB)
Overview of Electronic Secondary Claims (COB)
Overview of Electronic Secondary Claims (COB)
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Submitter Pr<strong>of</strong>ile<br />
<strong>Electronic</strong> <strong>Secondary</strong> <strong>Claims</strong> (<strong>COB</strong>) <strong>Overview</strong>-NextGen® PM<br />
Default MSP (Medicare <strong>Secondary</strong> Payer) Type Code<br />
MSP Reason code (referred to interchangeably as MSP Type Code, insurance type code or the MSP<br />
Reason) identifies the type <strong>of</strong> other insurance specific to the beneficiary‟s MSP status. For claims billed<br />
electronically, the code is submitted in loop 2000B SBR05 segment <strong>of</strong> the 837P ANSI X12 4010 format.<br />
This code may be setup to automatically default if enabled by a Submitter Pr<strong>of</strong>ile setting.<br />
*NOTE: This setting pertains only to 837P/1500 MSP claims<br />
In File Maintenance, after opening the Submitter Pr<strong>of</strong>ile Library, click the Exception Options tab, scroll<br />
down to Subscriber Information (2000B Loop SBR Segments) - Override Insurance type code on<br />
Medicare <strong>Secondary</strong>/Tertiary <strong>Claims</strong>. Under the Setting column click the down arrow for a list <strong>of</strong> MSP<br />
type codes.<br />
Best Practice-Select “12 - Working Aged Beneficiary”. This type code is most likely to match what<br />
Medicare has on record.<br />
NEXTGEN® Healthcare, Inc. EPM<strong>Claims</strong><br />
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V5.6SP1 Sept2010 Page 5 <strong>of</strong> 29
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