Pub. 100-06 Medicare Financial Management - Claims Crossover Process
The CMS has decided to streamline the claims crossover process to better serve our customers. Medicare complementary insurers (i.e., non-Medigap plans ), Title XIX State Medicaid Agencies, and Medigap plans—collectively known as coordination of benefit (COB) trading partners—that are eligible to receive Medicare paid claims directly from CMS for purposes of calculating their secondary liability will no longer have to sign separate agreements with individual Medicare contractors. Within the revised manual sections, Medicare intermediaries and carriers are notified about changes to financial management claims crossover processes that will result from the implementation of COBA. They are also directed to a section within Chapter 28 of the Medicare Claims Processing Manual where they can obtain more specific operational guidance regarding the new consolidated claims crossover process.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 06, 2004
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