SECONDARY CLAIM
Posted: Fri Mar 09, 2018 11:06 am
HI GAVIN,
IT'S CONSTANCE G. I HAVE A QUESTION. SOME OF OUR PRIMARY PAYERS DO NOT CROSSOVER CLAIMS TO SECONDARY INSURANCE COMPANIES. IN THE PAST, WE WOULD HAVE TO PRINT A PAPER CLAIM AND MAIL IT WITH THE PRIMARY REMIT TO SHOW WHAT THE PRIMARY INSURANCE PAID. WE WOULD LIKE TO SEND OUR SECONDARY CLAIMS ELECTRONICALLY INSTEAD VIA MAIL (MEDICARE-PALMETTO GBA WOULD PREFER IT). HOW DO I DO THIS? I UNDERSTAND HOW TO SUBMIT A SECONDARY CLAIM (CLAIM MANAGER, CHANGE THE STATUS FROM SENT TO READY TO SEND FOR THE SECONDARY INSURANCE, MAKE SURE IT HAS AN EDI #, REVENUE MANAGER, ETC). MY QUESTION IS THIS: HOW DOES THE SECONDARY INSURANCE (MEDICARE IN PARTICULAR- WHICH IS PROCESSED BY PALMETTO GBA) SEE WHAT THE PRIMARY HAS ALREADY PAID- SUCH AS THE CAS 2320 LOOP AND THE CAS 2430 FOR EXAMPLE? IS IT DONE FOR ME AUTOMATICALLY SINCE I ALREADY POSTED THE PRIMARY INSURANCE REMIT 835 AND THE PRIMARY INSURANCE IS "MARKED COMPLETE?" OBVIOUSLY WHAT I SEE ON A PAPER CLAIM IS MUCH DIFFERENT THAT WHAT PROBABLY GOES THROUGH AS AN ELECTRONIC CLAIM. I'VE DONE A BUNCH OF RESEARCH BUT IT STILL ISN'T CLEAR. I HAVE SEVERAL SECONDARY REMITS THAT I USUALLY HAVE TO MAIL (MEDICARE, TRICARE FOR LIFE ETC) AND I WOULD LOVE TO FIND A WAY TO MAKE IT EASIER, FASTER AND MORE EFFICIENT. THANK YOU SO MUCH FOR THE INFORMATION.
IT'S CONSTANCE G. I HAVE A QUESTION. SOME OF OUR PRIMARY PAYERS DO NOT CROSSOVER CLAIMS TO SECONDARY INSURANCE COMPANIES. IN THE PAST, WE WOULD HAVE TO PRINT A PAPER CLAIM AND MAIL IT WITH THE PRIMARY REMIT TO SHOW WHAT THE PRIMARY INSURANCE PAID. WE WOULD LIKE TO SEND OUR SECONDARY CLAIMS ELECTRONICALLY INSTEAD VIA MAIL (MEDICARE-PALMETTO GBA WOULD PREFER IT). HOW DO I DO THIS? I UNDERSTAND HOW TO SUBMIT A SECONDARY CLAIM (CLAIM MANAGER, CHANGE THE STATUS FROM SENT TO READY TO SEND FOR THE SECONDARY INSURANCE, MAKE SURE IT HAS AN EDI #, REVENUE MANAGER, ETC). MY QUESTION IS THIS: HOW DOES THE SECONDARY INSURANCE (MEDICARE IN PARTICULAR- WHICH IS PROCESSED BY PALMETTO GBA) SEE WHAT THE PRIMARY HAS ALREADY PAID- SUCH AS THE CAS 2320 LOOP AND THE CAS 2430 FOR EXAMPLE? IS IT DONE FOR ME AUTOMATICALLY SINCE I ALREADY POSTED THE PRIMARY INSURANCE REMIT 835 AND THE PRIMARY INSURANCE IS "MARKED COMPLETE?" OBVIOUSLY WHAT I SEE ON A PAPER CLAIM IS MUCH DIFFERENT THAT WHAT PROBABLY GOES THROUGH AS AN ELECTRONIC CLAIM. I'VE DONE A BUNCH OF RESEARCH BUT IT STILL ISN'T CLEAR. I HAVE SEVERAL SECONDARY REMITS THAT I USUALLY HAVE TO MAIL (MEDICARE, TRICARE FOR LIFE ETC) AND I WOULD LOVE TO FIND A WAY TO MAKE IT EASIER, FASTER AND MORE EFFICIENT. THANK YOU SO MUCH FOR THE INFORMATION.