100-05 Medicare Secondary Payer Manual: Chapter 6 Crosswalk

Medicare Secondary Payer (MSP)
Chapter 6 - Medicare Secondary Payer (MSP) CWF Process
Crosswalk
New
Chap
New
Section
Int.
Pub. 13
Carrier
Pub. 14
PMs 	Other 	Subject
6 	10 	A3-3696.A 	B3-4307 	AB-03-063 	88 BPRs 	General Information
6 	10.1 	A3-3696.B 	B3-4307.B 	AB-00-107 	Overview of CWF, MSP Processing
6 	10.2 	A3-3696.1 	B3-4307.1 	AB-00-36,
A-00-107,
A-01-156
Definition of MSP/CWF Terms
6 	20 	A3-3696.2 	B3-4307.2 	AB-00-107 	MSP Maintenance Transaction Record Processing
6 	20.1 	A3-3696.2A 	B3-4307.2A 	Types of MSP Maintenance Transactions
6 	20.1.1 	A3-3696.2A1 	B3-4307.2A.1 	AB-00-107 	MSP Add Transaction
6 	20.1.2 	A3-3696.2A2 	B3-4307.2A2 	MSP Change Transaction
6 	20.1.3 	A3-3696.2A3 	B3-4307.2A3 	AB-01-25 	MSP Delete Transaction
6 	20.1.4 	MSP Termination Date Transaction
6 	20.2 	A3-3800.1 	B3-6004.2 	AB-00-74,
AB-02-107
Medicare Secondary Payer (MSP) Maintenance
Transaction Record/Fiscal Intermediary (FI) and Carrier
MSP Auxiliary File Update Responsibility
6 	30 	A3-3696.2B 	B3-4307.2B 	CWF, MSP Auxiliary File
6 	30.1 	A3-3696.2C 	B3-4307.2C 	Integrity of MSP Data

New
Chap
New
Section
Int.
Pub. 13
Carrier
Pub. 14
PMs 	Other 	Subject
6 	30.1.1 	98 BPRs 	Maintenance and Clean-Up of MSP Auxiliary files in
CWF
6 	30.1.2 	A3-3696.2C1 	B3-4307.2C1 	MSP Effective Date Change Procedure
6 	30.1.3 	A3-3696.2C2 	B3-4307.2C2 	CWF/MSP Transaction Request for Contractor
Assistance
6 	30.2 	A3-3696.2C3 	B3-4307.2C3 	MSP Termination Date Procedure
6 	30.3 	A3-3810 	AB-98-16 	CWF Doc 	MSP Auxiliary File Errors
6 	30.3.1 	Valid Remarks Codes
6 	30.3.2 	Valid Insurance Type Codes
6 	30.3.3 	Other Effective Date and Termination Date Coverage
Edits
6 	30.3.4 	Employee Information Data Code
6 	30.4 	AB-02-089 	Automatic Notice of Change to MSP Auxiliary File
6 	40 	A3-3696.3 	B3-4307.3 	MSP Claim Processing
6 	40.1 	A3-3696.3A 	B3-4307.3A 	CWF, MSP Claim Validation
6 	40.2 	A3-3696.3B 	B3-4307.3B 	CWF Claim Matching Criteria Against MSP Records
6 	40.3 	A3-3696.3C 	B3-4307.3C 	CWF Doc 	Conditional Payment
6 	40.4 	A3-3696.3D 	B3-4307.3D 	Override Codes
6 	40.5 	A3-3696.4 	B3-4307.4 	AB-98-16 	MSP Cost Avoided Claims

New
Chap
New
Section
Int.
Pub. 13
Carrier
Pub. 14
PMs 	Other 	Subject
6 	40.6 	A3-3696.7 	B3-4307.7 	Online Inquiry to MSP Data
6 	40.7 	A3-3696.8 	B3-4307.8 	MSP Purge Process
6 	40.8 	A3-3686.8 	B3-4307.8 	AB-00-36 	MSP Utilization Edits and Resolution for Claims
Submitted to CWF
6 	50 	Special CWF Processes
6 	50.1 	AB-97-14 	Extension of MSP-ESRD Coordination Period
6 	50.2 	AB-02-17 	Sending of HUSC files from CWF to Recovery
Management and Account Systems (ReMAS)
6 	60 	AB-03-108 	Use of Inter-Contractor Notices (ICNs) and CWF for
Development Conditional Payment Amount
6 	60.1 	AB-03-108 	General Rules for the Use of ICNs vs CWF for
Development of Medicare’s Conditional Payment
Amount