Reason Code 31406

Published 12/16/2019

If an occurrence code 01,02, 03 or 04 is present on the claim, one of the following must also be on the claim:

  • Value codes 12, 13, 14, 15, 16, 41, 42, or 43
  • Condition code 08
  • Occurrence code 24

The service was denied because the patient has primary insurance through their (or their spouse’s) employer. Please verify the information on the claim and submit a new claim, if appropriate. The new claim may be submitted via electronic media.

CMS Medicare Secondary Payer webpage. For assistance on how to submit MSP claims, select Your Billing Responsibilities.