Medicare Secondary Payer (MSP) Determination Engine
Failing to properly sequence Medicare primary vs secondary billing triggers False Claims Act audits, drastic recoupments, and CO-22 denial sweeps. Walk through statutory CMS rules to determine exact payer order, generate 837P Loop 2320 electronic segments, and verify conditional payment rights.
Medicare Secondary Payer (MSP) Determination Engine
Determine statutory primary vs secondary payer order pursuant to Section 1862(b) of the Social Security Act. Generate ANSI X12 837P Loop 2320 electronic crossover segments and eliminate CARC CO-22 coordination denials.
MSP Clinical Intake Questionnaire
Section 1862(b)(1)(A) of the Social Security Act & 42 CFR § 411.170
Schedule a 50-Claim MSP Secondary Coordination & CO-22 Audit
Our certified billing compliance specialists audit 50 Medicare claims to eliminate CO-22 coordination of benefit rejections, recover uncollected secondary balances, and insulate your practice from CMS False Claims recoupments.
Turn these MSP Determination Engine insights into recovered cash
Struggling with CARC CO-22 coordination denials or uncollected secondary balances? Aethera's billing specialists automatically capture patient MSP questionnaires, verify employer size thresholds, and transmit electronic secondary crossover claims with 99.2% clean claim acceptance. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free, with guaranteed under-48-hour findings.
Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.
Upload your aging report for instant benchmark comparisons against MGMA standards and recoverable cash projections.