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Medicare as Secondary

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DMK:
I feel really dumb asking this question after years of billing BUT we have a new Part B carrier (Noridian) and I got an EOB back with $0 payment stating that "did not indicate whether we are the primary or secondary payer". 

The claim was sent with the primary eob attached and noted and highlighted on the claim "primary eob attached".

Have I been processing my secondary claims wrong all along?  Is there a way to show on a claim whether it's primary or secondary?

What would be the easiest way to re-process this?

I appreciate any input!

PMRNC:
That's NOT a dumb question at all. With Medicare the PATIENT is responsible for all COB issues.. THEY have to send info to Medicare and get the secondary connected. I have this come up now and again and it's frustrating because YOU know who is prime and who's not.. We just send a simple letter to patient to contact Medicare and we give them the phone number.

DMK:
Thanks!  Palmetto processed these claims the way I've always billed them, but Noridian just kicked them out.  I'll get these re-done.

PMRNC:
Are you saying that in past THIS patient's acct you already had setup with primary/secondary? If so maybe there was a change? I would try to call patent first.

dekenn:
I don't think it's a COB issue. I think it's just a matter of how Noridian likes the info on the claim. On the top left of the claim, I always have a P for primary and S for secondary, right above the outlined box. On secondary claims, I just circle the S, and write "primary eob attached".  Sometimes, they just miss that it's secondary.

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