MaineCare Primary Claims Paying at Zero, TR 38415

January 23, 2014

When billing MaineCare as primary payer, some provider claims are paying $0 in error. This issue is occurring when a member has Medicare Part A only, but the provider is billing Medicare Part B services to MaineCare. The claim is processing MaineCare as primary, but the system is not calculating the payment correctly. We will notify you when this issue is corrected and claims will be reprocessed. No provider action is needed.