Crossover Notice
The Centers for Medicare & Medicaid Services (CMS) is alerting you that many of the institutional claims (not specific to any bill type) that you submitted to your designated A/B Medicare Administrative Contractor (MAC) or fiscal intermediary near to/around December 1, 2008, may not have automatically crossed over to your patients' supplemental insurers. As the result of a systems error within the Part A shared system, which arose with the installation of a systems fix on December 1, 2008, several hundred thousand 837 institutional claims were not crossed over successfully through the national Coordination of Benefits Agreement (COBA) crossover process. The problem related to missing required taxonomy code elements (PRV01 and PRV02) at the 2000A PRV level. Please note that, as of December 18, 2008, the Part A shared system fixed all further incidence of the taxonomy code problems. Therefore, as of that date, all claims sent to the COB Contractor (COBC) for national crossover purposes will no longer contain the earlier problem.
IMPORTANT: As of December 30, 2008, the Part A shared system is making a claims repair job available to all affiliate A/B MACs or fiscal intermediaries. Upon installation of the claims repair job, the A/B MACs or fiscal intermediaries will repair all previously errored claims and will retransmit them to the COBC for crossover purposes. CMS encourages all institutional providers to not balance bill their patients' supplemental insurers for any claims they believe may not have crossed over during December 1st through 18th and to allow an additional 2 to 3 weeks from this notification before attempting to bill their patients' supplemental insurance.
Page Last Updated: Thursday, 18-Mar-2010 05:54:38 CDT
