0
Billing CCDTF (Rule 25) as a Secondary Payer
We bill R25-CCDTF as secondary for qualifying clients. I have noticed that I am updating the COB and it leaves our clearing house correctly but in MNITS and on our ERA from MN DHS they are paying the full (original) rate...
Currently I go out and update the rates in MNITS via a replacement claim. I have a call in to them but wanted to see if anyone else has come across this???
Сервис поддержки клиентов работает на платформе UserEcho
When I have come across this it is because on the SA that they send to you there isn't a primary listed at the bottom so it pays like it is primary whether you enter the COB info in or not.
Hi Kelly - that is great info! How to I get them to note it as secondary? Is it part of the request/pw process? We have never done this and are newer to the secondary billing side of ccdtf.
thank you.
When you are verifying their coverage on MNITs is it listing a primary at the bottom right of the MNIts verification? I have come across some that don't list a primary so they don't have it on file with the state. If it is listed then I call the county worker who issued the SA to let them know and they should reissue a corrected SA showing there is a primary
Great - thank you for that information. I will take this to my team!