cob

  1. J

    Wiki COB

    How do you guys handle COB issue with Medicaid patients? We tried to contact patient, but patient does not return any response. Insurance is stating we can't bill Medicaid patients for COB issue.
  2. J

    Wiki Medicare COB Question for IP Stay

    When a member becomes eligible for Medicare Part A in the middle of their Inpatient stay, how is the biller to submit a claim? The patient had Medicaid State SSI as coverage upon admission which fell to secondary payor once the patient was entitled to Medicare Part A. Is SSI responsible for the...
  3. P

    Wiki Differing claim submission requirements under COB

    I am just wondering if anyone else has this issue: We bill for an urgent care facility. Pts primary insurance coverage requires claims to be submitted by Provider. Pts secondary coverage is stating that unless claims are submitted by facility the secondary claims are considered out of network...
  4. M

    Wiki How do I find health plans with medicare and/or medicare advantage patients?

    Hi All, I am trying to learn how to identify each of the health plans in the US that have Medicare and/or Medicare Advantage patients. I work in Silicon Valley with a team that has built a Google-like engine that helps health plans optimize reimbursements. We do this by automatically...
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