CMS Pub. 100-05, ch. 5, § 50.1.3

One of the following codes is returned to the A/B MAC (Part B) system, which

indicates the results from processing secondary payment computation and savings.

These codes are also referenced in the technical documentation released with the

MSPPAY modules.

Return Code Description

3010 Claim is fully paid

3020 Claim is partially paid

3030 Line of service denied

3500 Invalid MSP value code

3510 Invalid number of other payers

3520 Non-numeric MSP amount

3530 MSP amount equals zeros

3540 Invalid record identification

3545 Non-numeric Gramm-Rudmann-Hollings percent

3560 Non-numeric blood deductible

3570 Non-numeric cash deductible

3700 Non-numeric total coinsurance amount

3730 Non-numeric Medicare primary payment

3780 Non-numeric provider payment amount

3790 Non-numeric patient payment amount

3800 Invalid assignment indicator

3805 Invalid par indicator

3810 Non-numeric other payer allowed amount

3820 Non-numeric charges not subject to deductible and coinsurance

3830 Non-numeric charges subject to deductible

Return Code Description

3840 Non-numeric psychiatric charges

3880 Invalid "thru-date" of claim

3890 Non-numeric Medicare reasonable charge/fee schedule

3910 Non-numeric obligated to accept

3920 Non-numeric total actual charges

3930 Non-numeric limited fee

3940 Non-numeric limited charge

3950 Limited fee equal zeros

3960 Limited charge equal zeros