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Medicare Outpatient Adjudication Info:

Marsyl 2 days ago in Billing/Electronic Modules updated by s beaulieu 2 days ago 4

Do not know what this field is actually supposed to contain when entering a Medicare or Medicare Advantage plan into a patient's payer - not finding anything at CMS either.  Anybody have an idea???

I ticketed Procentive asking...

Awesome.  We are on the struggle bus with the Medicare Advantage plans that also have MA...just, whyyyyyyy?  lol

Luckily they are rare but for my one client that has advantage primary, MA secondary, I can't get MA to pay, even when billing on Mnits. 

In payer's tab, do you have Medicare population selected in the Health Insurance Type: field?