Reason Code 31102

Description
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 Benefits Coordination & Recovery Center (BCRC) 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. Contact the BCRC to update the records.
  9. Patient relationship code being billed doesn't match MSP record on CWF. Contact the BCRC and have records updated.

Please make corrections and resubmit your claim.

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

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 

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