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How to submit Institutional and Secondary Claims on the Provider Portal Indiana Health Coverage Programs DEC Technology October 2017Session Objectives 2Provider Healthcare Portal Overview Submitting

How to fill out submitting secondary cms-1500 claims

How to fill out submitting secondary cms-1500 claims

1. Gather all necessary information and documents, such as the original CMS-1500 claim form, EOB (Explanation of Benefits) from the primary payer, and any supporting medical records.
2. Review the EOB to identify the payments and adjustments made by the primary payer.
3. Complete the secondary CMS-1500 claim form by accurately entering all required information, including patient demographics, provider information, diagnosis and procedure codes, and charges.
4. Attach copies of any relevant medical records or supporting documentation to the claim form.
5. Verify the coordination of benefits (COB) information, ensuring correct sequencing and identification of the primary payer.
6. Double-check all information for accuracy and completeness before submitting the claim.
7. Submit the completed secondary CMS-1500 claim form, along with any necessary attachments, to the appropriate secondary payer according to their specific submission guidelines.
8. Monitor the claim's status and follow up if required to ensure timely processing and payment.
9. Keep proper documentation of all submissions and communications related to the secondary CMS-1500 claims for future reference.
10. If any issues or denials occur, work with the secondary payer to resolve them and appeal if necessary.

Who needs submitting secondary cms-1500 claims?

1. Healthcare providers, such as physicians, hospitals, and clinics, who have provided medical services to patients covered under multiple insurance plans.
2. Patients who have both primary and secondary insurance coverage and need to ensure proper reimbursement for their healthcare expenses.

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What is submitting secondary cms-1500 claims?

Submitting secondary cms-1500 claims refers to the process of submitting additional claims for healthcare services already billed to a primary insurance provider.

Who is required to file submitting secondary cms-1500 claims?

Healthcare providers and facilities may be required to file submitting secondary cms-1500 claims in certain situations, such as when a patient has multiple insurance policies.

How to fill out submitting secondary cms-1500 claims?

Submitting secondary cms-1500 claims must be filled out with accurate patient and service information, as well as details of the primary insurance payment.

What is the purpose of submitting secondary cms-1500 claims?

The purpose of submitting secondary cms-1500 claims is to seek reimbursement for healthcare services from secondary insurance providers after the primary insurance has paid their portion.

What information must be reported on submitting secondary cms-1500 claims?

Submitting secondary cms-1500 claims must include patient demographics, diagnosis codes, procedure codes, service dates, and details of the primary insurance payment.