Cross-over Claims to be Re-processed

October 28, 2011

Since September 1, 2011 some Medicare cross-over claims have been denied in error. The denials have appeared under Edit 150 (no contract term found for service) and Claim Adjustment Reason Code 185 (The rendering provider is not eligible to perform the service billed). These claims will be re-processed. You do not need to resubmit these claims.