Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing

All Medicare contractors and associated SSMs must utilize CAS segment adjustments on the 837 Institutional and Professional claims when adjudicating MSP claims. Shared System Maintainers and contractors must make the necessary changes on a regular basis as per this MSP CAS update change request. The attached recurring Update Notification applies to chapter 5, section 40.7.3.
New / Revised Material
Effective Date: October 1, 2009
Implementation Date: October 5, 2009

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 24, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.