US · guidance
CMS Pub. 100-05, ch. 5, § 70.3.1.2
Working Aged Bills
A. Value Codes and Amounts: FLs 39 thru 41
The following Working Aged value code and amount fields should be completed to
show the type of other coverage and the amount paid by the other payer for Medicare
covered services.
• 12 - Working aged/beneficiary/spouse with group health plan coverage
History
(Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b3b05ab378ee1e90f546ba7350b45dd94a5a19a2316b9ffec460d0a0cefba015
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