AAPC - August DL Sale: 50% OFF
Results 1 to 3 of 3

Thread: Medicare secondary to auto

  1. #1

    Default Medicare secondary to auto

    AAPC: CPC Promo
    Hi, I am looking for any suggestions someone may have. When Medicare is secondary to auto we have a lot of problems getting paid. Medicare states that they need the auto loss run in addition to the benefit exhaust letter. The auto insurance will only release the auto loss run to the patient and we have problems getting this from the patient. Does anyone have any suggestions as to how to solve this?

  2. #2
    Join Date
    Apr 2007
    Location
    York, PA
    Posts
    5

    Default

    I have submitted and MCR has paid with the EOB from the auto insurance carrier. The EOB from the primary payer (auto) has sufficient information for MCR to see that the auto carrier did not pay once the auto has exhausted.

  3. #3

    Default

    In Pennsylvania, a lot of our auto carries do not give specific EOB information stating the date of service, charge and denial reason. We get a generic letter stating that benefits have been exhausted.

Similar Threads

  1. Medicare Secondary Payer and Auto Liability?
    By JAHokie46 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-11-2015, 02:44 PM
  2. Medicare secondary
    By june616 in forum Medicare Regulations
    Replies: 3
    Last Post: 02-12-2014, 02:54 PM
  3. Auto/ Primary/ Secondary billing order
    By gtaylor in forum Billing/Reimbursement
    Replies: 1
    Last Post: 04-03-2012, 03:13 PM
  4. Medicare patient in Auto Accident/PI Case
    By sdc10 in forum Compliance General Discussion
    Replies: 3
    Last Post: 11-22-2011, 06:24 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.