Billing: Medicare Secondary MSP

How to enter a MSP reason when Medicare is secondary.


RPA Reject: OTHER PAYER INSURANCE TYPE CODE IS MISSING OR INVALID

The claims rejected on RPA frontend because the Insurance Type code/ SBR05 value in Loop 2320  is missing.  


The Insurance type code / SBR05  value is required when Medicare is a Secondary Payer.


Please correct and resubmit the claims with Insurance type code in Loop 2320~ SBR05.



  1. Go to the patient set up.


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2. Click on the insurance Tab.

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3. Click on Medicare secondary

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4. Choose the MSP reason

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5. Click Save.

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