Modifications to the Automated Duplicate Primary Payment (DPP) Process
The purpose of this Change Request (CR) is to modify the Multi-Carrier System (MCS) to accommodate DPP claim records where the primary payer's Total Charges and Paid Amount are identical and there is no associated Claim Adjustment Reason Code. This may happen for DPP records where the Claims Processing Indicator value is "S." Additionally, CMS is taking action to remove older MCS code tied to receipt of Medicare Secondary Payer (MSP) information in the Healthcare Utilization Duplicate Payment (HUDP) at the header level in association with Part B Medicare claims.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 29, 2023
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