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MCR primary/MCD Seconary

  1. #1
    Default MCR primary/MCD Seconary
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    I have a patient with Ohio MCR primary and Ohio MCD secondary. I am billing a level 99213, 81002 and h1000. MCR is denying the claim because of the h1000 however, MCD requires the
    h1000. Is my only choice to bill without the h1000?
    Last edited by neecen; 09-13-2010 at 01:21 PM.

  2. Default
    are you billing Florida medicaid?

  3. #3
    Oh, sorry no, I am billing Ohio

  4. Default
    I am not from Ohio, but generally I bill claims to Medicare for pregnant patients, then once I receive denial I bill that to Medicaid and they pay for visits. Hope Im not confusing you!

  5. Default
    file to Medicare w/o the H1000. Once medicare processes the claim they "should" be forwarding it (crossing over) to Medicaid and Medicaid should recognize that they are 2nd payor and process accordingly. If they are not then a phone call to a claims rep or your area medicaid rep would be inorder.

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