We have been getting denials from medicare because medicare has on file a workers comp. claim, an auto claim, supplement and blue cross.
this entire situation has dumbfounded me. The patient is over insured but our claims have nothing to do with wc or auto claim. bottom line is the patient is not contacting medicare to coordinate so really my question is to mark each visit with medicare allowed amount and bill patient that amount? The claims will not be processed correctly if coordination is not done so pt is responsible, right?
Here is an update on this topic. The patient contacted his old workers comp carrier trying to demand for them to pay his bill....funny right. Workers comp told him that he has to do the same thing I have been telling him, you must contact medicare to do your coordination of benefits.... so after 6 months, he finally did it. I received a call from medicare verifying that he had updated. They said I must resubmit the claims electronically of course with the statement "not worker comp or auto accident related. So, my question is should I put that statement in line 19?