Coordination of Benefits - JE Part B

Common Reasons for Message

• Patient has another insurance primary to Medicare
• Patient's coordination of benefits is not up-to-date

Next Step

• After billing primary insurance, submit secondary claim to Medicare
• If patient's coordination of benefits has been updated to reflect Medicare as primary, submit primary claim to Medicare
• If patient's insurance needs to be updated, the beneficiary may contact Benefits Coordination

Claim Submission Tips

• For electronic claims, verify that all necessary primary information is correctly submitted on claim
• Review billing guides
  • Billing Medicare Secondary Payer (MSP) Claims Electronically
  • Billing Medicare Secondary Payer (MSP) Electronically using PC-ACE Pro32
• Verify patient's eligibility via Interactive Voice Response (IVR) or the Noridian Medicare Portal
  • If there is a problem with file, patient may contact Benefits Coordination & Recovery Center (BCRC) at 1-855-798-2627 to make necessary corrections
• Prior to rendering services, obtain all patient's health insurance cards
• Ask beneficiary to fill out Admission Questions to Ask Medicare Beneficiaries [PDF] form