Crossover Claims to Deny If Medicare Denies

As of Nov. 1, 2015, if Medicare has denied a line on a crossover claim, NCTracks also denies the line with Edit/EOB 01760 – MISSING MEDICARE LINE OTHER PAYER INFORMATION. If the claim was denied by Medicare due to billing issues, the provider should submit a corrected claim to Medicare. Otherwise, refer to the User Guide “How to Indicate Other Payer Details on a Claim in NCTracks and Batch Submissions” on the Provider User Guides and Training page of the Provider Portal for information on the process for billing secondary claims to NCTracks.

Source: https://ncdma.s3.amazonaws.com/s3fs-public/documents/files/1215_Medicaid_Bulletin_1.pdf