Reason Code 31102

Published 10/24/2023

Your claim is being returned due to one of the following:
  1. Value code dollar amount equal greater than $0.00
  2. Occurrence code 24 and date insurance denied not present
  3. Any required condition codes or occurrence codes not present based on Medicare Secondary Payer (MSP) value code
  4. Two-digit MSP explanation codes and date if required not present
  5. If billing value codes 15 or 47 and the benefits are exhausted, please contact the Medicare Secondary Payer (MSP) Contractor to update the records and bill primary
  6. Value codes 16, 41 and 42 should not be billed conditional. You should bill Medicare primary.
  7. Value code 13 and value codes 12 or 43 cannot be billed on the same claim
  8. Insurance name and address do not match what is on the MSP Record at CWF. Request the beneficary contact the MSP Contractor to update the records.
  9. Patient relationship code being billed doesn't match MSP record on CWF. Request the beneficiary contact the MSP Contractor and have records updated.

Please make corrections and resubmit your claim.

For assistance on how and when to bill Medicare secondary, refer to the following resources:

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