Author Topic: When billing Medicaid as a secondary what form do you use?  (Read 2220 times)

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4762
    • Solutions Medical Billing
When billing Medicaid as a secondary what form do you use?
« on: March 11, 2008, 02:57:36 PM »
Question
When billing Medicaid as a secondary what form do you use. Also, do you need to submit the primary eob onto the claim. I not yet submitted a secondary claim to Medicaid yet, so any help would be appreciated. Thanks.

Answer
Hi,
Usually Medicaid provides special forms for submitting paper claims. You should contact your local Medicaid office to obtain the forms. These forms have fields to indicate that Medicare or another insurance is prime, and also to indicate the Medicare or other insurance allowed and paid amounts. You do not attach a copy of the eob to the claim, you just indicate in the appropriate fields what the other insurance is and what they allowed and paid on the claim.
Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Valykrie

  • Newbie
  • *
  • Posts: 1
Re: When billing Medicaid as a secondary what form do you use?
« Reply #1 on: April 23, 2008, 12:04:53 PM »
I do billing for a hospital for Masshealth.  I am questioning the response below which states the EOB of the primary is not needed for Medicaid secondary.  It has always been my experience that Masshealth will deny without the EOB and have gotten that response from Masshealth Claims services as well.  Do you have documenation from Masshealth stating this?   thanx  Christine






Question
When billing Medicaid as a secondary what form do you use. Also, do you need to submit the primary eob onto the claim. I not yet submitted a secondary claim to Medicaid yet, so any help would be appreciated. Thanks.

Answer
Hi,
Usually Medicaid provides special forms for submitting paper claims. You should contact your local Medicaid office to obtain the forms. These forms have fields to indicate that Medicare or another insurance is prime, and also to indicate the Medicare or other insurance allowed and paid amounts. You do not attach a copy of the eob to the claim, you just indicate in the appropriate fields what the other insurance is and what they allowed and paid on the claim.
Michele

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4762
    • Solutions Medical Billing
Re: When billing Medicaid as a secondary what form do you use?
« Reply #2 on: April 23, 2008, 05:01:02 PM »
I'm not familiar with Masshealth.  When billing NY Medicaid secondary you cannot attach an eob.  You must indicate the info on the Medicaid form.  The other states I've dealt with were the same, but I haven't ever done Masshealth.  Do you file on CMS forms or special Medicaid forms?

If anyone has any experience in billing Masshealth, please share any info you have.

Thanks
Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com