Notice - Provider Notification Related to Crossover with Rejection Code H21084
Recently Medicare issued a provider letter indicating that claims marked for crossover were not crossed due to a claim data error or rejection by the supplemental insurer. The letters identify ICN, HIC, 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.
Page Last Updated: Wednesday, 31-Dec-2008 10:48:24 CST
