Do you ever wonder why a claim did not crossover to the supplemental insurance company (Trading Partner)?
There are different reasons why a claim might not crossover. Supplemental insurers contract with Medicare to supply them with the information to process the supplemental benefits. A Supplemental payer generally has no liability for additional payment when claims are paid at 100% of Medicare's approved amount or claims that are denied in full. Therefore, most companies choose not to receive claims for which they have no liability. See what Advanced Billing Consultants can do for you in Medical Billing Services.