Modifications to the COBA Process For Other Federal Payer Payment Order and Other Issues
Through this instruction, the Centers for Medicare and Medicaid Services (CMS) is making changes to ensure that it only crosses over Medicare beneficiary claims to TRICARE for Life and the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) program when other sources of supplemental insurance coverage are unavailable. Title XIX Medicaid will remain payer of last resort after these entities.In addition, through this instruction, CMS directs the Part A shared system to always display the value 8 within the 2300 CLM05-3 element on outbound 837 institutional crossover claims.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 13, 2011
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.