Medicare Crossover Claims Tip: FQHC/RHC/IHS Providers

October 14, 2011

Attention FQHC/RHC/IHS providers: Here is a tip for proper processing of claims crossing over from Medicare. When adding your core visit code of T1015 to the claim, use the next available line. Deleting or changing existing claim lines causes problems with the claim. By entering T1015 on the next available claim line, moving the Coordination of Benefits (COB) information to that line, and adding the paid date -- claims are processed under the appropriate eligibility and payment should be calculated correctly.