CMS announced a system-wide error suppressed crossover claims to certain supplemental payers between April 8 and early May. The agency announced no plans to transmit the affected claims, so suppliers need to file directly with the secondary payers.
The issue affects Medicare claims finalized between April 8 and:
Medicare did not send crossover claims to the following payers:
We recommend suppliers query internal billing applications for open secondary claims covered by the above payers and opened in April or May to determine which claims require direct submission.
SOURCE LINKS
https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2021-04-29-mlnc#_Toc70512331
The issue affects Medicare claims finalized between April 8 and:
- April 25 (electronic claims).
- May 11 (paper claims).
Medicare did not send crossover claims to the following payers:
- Anthem BCBS
- Connecticut.
- New Hampshire.
- Maine.
- Vermont.
- BCBS
- Michigan.
- Maine.
- Empire BCBS Illinois.
- California Medicaid – Alameda Alliance.
- CHCS Services, Inc.
- C&O Employees Hospital Association.
- Mutual of Omaha Insurance Company.
We recommend suppliers query internal billing applications for open secondary claims covered by the above payers and opened in April or May to determine which claims require direct submission.
SOURCE LINKS
https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2021-04-29-mlnc#_Toc70512331
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