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MA denials for missing other plan information
We are consistently getting denials from MA when billed as secondary saying "missing other plan informaition" - specifically when primary is Medicare or a Medicare advantage plan. The COB is correct and have tried adding the svd segment manually, nothing works. Any ideas?
Customer support service by UserEcho
Are you talking about MN MA? I haven't seen it yet with MN MA though for our claims, but maybe we just haven't had a client with that combo just yet. But we had this issue with our ND MA claims and it ended up that ND MA changed to where if the client had Medicare or a Medicare Advantage plan as primary, when billing to ND MA as secondary they wanted the claim to come through with an MB for the Claim Filing Indicator of which Procentive had to create for us. So that might be the same thing here with MN MA possibly.
Yes, us too with MN MA and Medicare or Medicare Advantage plan - have no idea why and our COB is correct as well. Probably need to open a case with Procentive to see if we need a different modifier.