Reason Code U6825

Published 10/24/2023

Non-Non-Group Health Plan (GHP) Medicare Secondary Payer (MSP) conditional payment claim, but a non-GHP MSP record with a validity indicator equal to “I” or “Y” is not present for these dates of service.

Check for common errors:

  • A claim is billed for Medicare conditional payment; however, there are no valid Non-GHP files listed on Common Working File (CWF)
  • A claim is billed for Medicare conditional payment and there is a valid Non-GHP file on CWF; however, claim is missing 24 occurrence code

Note: Non-GHP files are also referred to as Third Party Liability (TPL) files. MSP TPL files are No-Fault (value code 14), Liability (value code 47), Workers' Compensation (value code 15) and Black Lung (value code 41).

Beneficiaries should contact the MSP Contractor to update Non-GHP file(s). Resubmit claim using 24 occurrence code for conditional payment.


  • MSP Contractor 
  • CMS Internet Only Manual (IOM), Publication 100-05, Medicare Secondary Payer Manual, Chapter 5 (PDF), section 3, 30.2 — Provider Billing Where Services Are Accident Related and No-Fault Insurance May Be Available 

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