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MEDICAL SERVICES PLAN Explanatory Codes March 4, 2013, ABBREVIATIONS ASSOC Association DEP Dependent DOS Date of Service ICBC Insurance Corporation of BC IV Intravenous MAP Medical Services Plan MVA
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MSP explanatory codes are codes used to explain the reason for a Medicare Secondary Payer (MSP) situation. They provide additional information about the coordination of benefits between Medicare and other insurance plans.
Healthcare providers, insurance companies, and individuals who have Medicare as their secondary payer are required to file MSP explanatory codes.
MSP explanatory codes can be filled out using the appropriate code corresponding to the specific situation. These codes are provided by the Centers for Medicare & Medicaid Services (CMS) and should be entered accurately on the required forms or claims.
The purpose of MSP explanatory codes is to ensure proper coordination of benefits between Medicare and other insurance plans. They help in identifying the reasons why Medicare is the secondary payer and provide essential information for claims processing.
MSP explanatory codes must report information such as the reason for Medicare being the secondary payer, details of the primary insurance plan, coordination of benefits information, and any other relevant details about the claim.
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