When billing Medicare as the secondary payer, what amount must be listed with the reported value code?
The amount to be reported with the value code must be the actual payment received from the primary insurer. Date Posted: 06/11/2001, Date Revised: 03/04/2011 Go to Top • How can I bill an Medicare Secondary Payer (MSP) claim if there is an open Worker’s Compensation, Auto or Liability file on the common working file (CWF) but the services provided to the patient are not related to the open file? Providers can submit this type of claim electronically via a Medicare certified vendor that supports Electronic Media Claims (EMC). The claim must be submitted with remarks specifying the services are unrelated. The processing unit will either allow the claim to process if the claim contains adequate remarks and the diagnosis codes are unrelated; or reject the claims if they are unable to make a determination if the services are related or not. The processing unit will be reviewing the comments on the claim and the diagnosis codes reported on the claim when making their determination. If the pr
