General Category > General Questions

Crossover claim

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carflorida:
What is a crossover?

RichardP:
Crossover pertains to Medicare and supplemental coverage.  When Medicare is primary, and there is a secondary insurance, and Medicare has been made aware of the secondary - the Medicare contractor will forward the claim automatically to the secondary when they are finished processing the claim.  Think of crossover as the automatic billing of the secondary by Medicare.

PMRNC:
There are some times where a crossover should be in place but it's not, Medicare will tell you it's up to the beneficiary to set up this crossover.  I've run into a few of them, not many though because once it's setup its all good.

DMK:
It is COMPLETELY up to the patient to set up the crossover with Medicare.  We've run into a lot of patients changing their supplementals frequently, it's a pain.  And they hate to have to call Medicare to set up the correct info.  It's important for the front office to verify the correct insurance info frequently.

carflorida:
Thanks so much!  :D That was all very helpful.

So the healthcare provider is not responsible for setting up the crossover? It is the patent's?



PS Do I have to type in the verification every time I post?

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