I agree. This is a great forum. So helpful for all of us billing folks. You can check the noridian portal to see if they show secondary information. Typically they do. But not all secondary insurance information after Medicare is crossed over. The Medicare RA will show this information when you receive it. If patient has secondary, but it is not reflected on the Medicare RA, then you would then need to submit to secondary. I believe, but I could be wrong, the beneficiary is the one who has to inform Medicare to cross over. And Medicare may not cross over for all secondary insurance companies.