Medicare Secondary claims to be submitted electronically

Medicare Secondary Payor claims must be submitted electronically to Medicare unless your office fits the following exceptions:


*Small Provider with 9 or fewer full time employees
* Roster billing of mass immunizations covered by Medicare
* Claims for payment under Medicare demonstration projects when information is required that cannot be submitted electronically
* Claims where Medicare is the tertiary payer to two (or more) primary payers; e.g., Medicare is the third payer (not to be confused with claims where Medicare is the secondary payer)
* Dental claims to Medicare.


Remember when submitting claims electronically to Medicare or other insurance carriers your office will need to be well versed on Medicare claim adjustment Reason Codes.

I would suggest that you visit one of my other blogs that details these steps in full: Medicare Insurance Claim Adjustment Reason Codes


For more course information on Medical Billing check out Online Medical Coding and Billing Courses


If your office has any questions on MSP codes please post a log and I would be happy to assist.

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