CMS announces suppressed claims
By HME News Staff
Updated 11:04 AM CDT, Tue July 27, 2021
WASHINGTON – CMS has announced that a systems-wide error resulted in suppressed crossover claims to certain supplemental payers from April 8 through early May, MiraVista reports. The issue affects Medicare claims finalized between April 8 and April 25 for electronic claims, and between April 8 and May 11 for paper claims. Medicare did not send crossover claims to the following payers, according to MiraVista: Anthem BCBS (Connecticut, New Hampshire, Maine and Vermont); BCBS (Michigan and Maine); Empire BCBS Illinois; California Medicaid – Alameda Alliance; CHCS Services; C&O Employees Hospital Association; and Mutual of Omaha Insurance Company. MiraVista recommends that providers query internal billing applications for open secondary claims covered by the affected payers during the affected timeframe to determine which claims require direct submission. “The agency announced no plans to transmit the affected claims, so suppliers need to file directly with the secondary payers,” the organization stated in a bulletin on its website.
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