Alert: MCS Issue with 835 Electronic Remittance Advice and Crossover Claims Due to a problem associated with the Centers for Medicare & Medicaid Services (CMS) CR 5250, Coordination of Benefits Agreement (COBA) Eligibility File Claims Recovery Process, 835 RAs associated with claims processed as of January 2, 2007 were missing the remark code “MA18” for TRICARE crossover claims produced by their Medicare carriers. That missing remark is the statement that says that the claim has been crossed over by Medicare. CMS has verified that the claims have in fact crossed over so there is no need to send paper RA to TriCare. A coding correction has been sent to the contractors, however, only those claims received on or after February 5, 2007 will have the remark code present on the RA. CMS Learn Resource 200702-06
|
