Medical Billing Forum

Billing => Facility Billing => : joshep January 08, 2009, 02:29:57 PM

: Billing Medicare as secondary
: joshep January 08, 2009, 02:29:57 PM

Hi,

I'm having problems billing Medicare as a secondary.  Medicare will not except the claim on paper with the EOB from the primary insurance so I've sent it as a secondary through the clearinghouse-but it is always rejected.   Has anyone had success with this process and could you share with me the BIG secret to getting this right.

Thanks

: Re: Billing Medicare as secondary
: jenfogle January 08, 2009, 07:30:53 PM

this has been a huge issue for our ofc as well, but were recently able to submit & get pd for claims. what type of software do you use?

: Re: Billing Medicare as secondary
: Pay_My_Claims January 22, 2009, 12:58:36 AM

: joshep  January 08, 2009, 02:29:57 PM

Hi,

I'm having problems billing Medicare as a secondary.  Medicare will not except the claim on paper with the EOB from the primary insurance so I've sent it as a secondary through the clearinghouse-but it is always rejected.   Has anyone had success with this process and could you share with me the BIG secret to getting this right.

Thanks

What kind of rejection code are you getting????

: Re: Billing Medicare as secondary
: Michele January 22, 2009, 09:55:49 AM

I would contact your electronic vendor and describe the problem to them.  It sounds like your electronics aren't set up correctly (the right info in the right loops/segments in the 837 file).  They will probably need to see your rejection report that you receive.

Michele