Medicare IVR what it can do

Did you know you can call Medicares Interactive Voice Responsie (IVR) system to learn:

1. Patients Eligibility
2. Claim Status
3. Provider Summary
4. Checks and Deductibles
5. Pricing
6. Medicare Updates

All options to the IVR is available Monday through Friday 6:00 am - 6:00 pm CT and Saturday 7:00 am - 12:00 PM CT. Outside of these times, functions such as claim status and eligibility and others requiring a PTAN (Provider Transaction Access Number) maybe limited.

Learn more about Electronic Medical Billing and Coding at this site medical billings and health insurance claims

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Medicare Tip - IVR offers Medicare News

Did you know you can call the Medicare Interactive Voice Response (IVR) system to learn Medicare news. Medicare news and alerts can be found in the IVR when using the Questions IVR option.

Medicare rejection Code H21084

For those clients getting a H21084 denial from Medicare please read this:

NOTICE- PROVIDER NOTIFICATION RELATED TO CROSSOVER WITH REJECTION CODE H21084

Recently Medicare issued medical provider letters indicating that claims marked for crossover were not crossed due to a claim data error or rejection by the supplemental insurer. The letters identify Internal Control Number (ICN), Health Insurance Claim (HIC), Coordination of Benefits Agreement (COBA) Insurer, patient name, date of service, rejection code, and a description of the rejection code.

Letters Containing Rejection Code "H21084" The description of rejection code H21084 is "The qualifier XX was not found, but was expected because of the National Provider Identifier (NPI)." CMS activated error code H21084 in an effort to address large volumes of non-acceptance of crossover claims by some of the crossover trading partners whose translators were programmed to expect NPI as of May 23, 2008, in the secondary provider fields. Not all crossover claims were or will be impacted. The affected claims will contain a Julian date prior to May 23, 2008 (08144). Providers do not have to correct any information on inbound claims to Medicare.

Please do not resubmit these claims to Medicare. In order for you to receive supplemental payment, you must submit the claim directly to the trading partner.

In Short Medicare is asking that you are responsible for billing your secondary insurance carrier.

Additional Medical Billing and Coding questions are answered here: Online Medical Coding and Billing Courses

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