M Record

Medicare Secondary Payer

Overview          Record Fields

Overview

The UDS M record is used by both the Receivers and Guaranty Funds to transmit Medicare Secondary Payer information. All Insurance Companies, Insurance Companies in Liquidation, and Guaranty Funds may be required report as a Registered Reporting Entity (RRE) and the information from this record is used to fulfill the reporting requirements with respect to Medicare beneficiaries.

 

Record Fields

No. Field Name Extended Description Default To
aRECORD TYPEThe identifier for the various types of records that will be exchanged in the uniform reporting format. The code for this record will be M.M
bINSOLVENT COMPANY NAIC NUMBERThe unique number that the insolvent company assigned to each claim. Shorter values are left justified and padded with blanks. If insolvent Company Claim Number is 20 characters or less, it appears here, and field 36, Lond Claim Number, must be blank. If Insolvent Company Claim Number exceeds 20 characters, then the Reciever assigns a unique number in this field, and field 36, Long Claim Number, is populated with the insolvent companys claim number.No default allowed.
cINSOLVENT COMPANY CLAIM NUMBERThe unique number that the insolvent company assigned to this claim.No default allowed.
dRECIEVER CLAIM NUMBERThe unique number the Receiver assigns to identity a specific claim. Shorter values are left justified and padded with banks.No default allowed.
eFUND CLAIM NUMBERUnique number assigned by the Fund to the claim. Required if originator is the Fund.No default allowed.
fCLAIMANT NUMBERNumber assigned by Reciever to this claimant. The value should be right justified and padded with leading zeroes. If notes are maintained at the claim level, you may use 00000 as the Claimant Number.UDSUNKNOWN