A secondary payer value code is present on the claim (value code 12, 13, 14, 15, 16, 41, 42, 43 or 47); however, Medicare is identified as the primary payer on the claim.

Please correct claim and resubmit via electronic media if appropriate.

CMS Internet Only Manual (IOM), Publication 100-5, Medicare Secondary Payer (MSP) Manual, chapter 3 (PDF, 234 KB).

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

Email JJ Part A

Contact a specific JJ Part A department

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