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Auto-cross over claims
Auto-cross over claims
M
Written by Mae
Updated over 4 years ago

When providers submit claims to Medicare, Medicare will pay the claim, apply a deductible/ coinsurance or co-pay amount; Medicare may automatically forward the claim to Medicaid or secondary payers. 

If NikoHealth receives an ERA against an invoice with a claim status code response of “forwarded to additional payer(s)” the invoice will automatically;

  • Change the Bill To the next payer (secondary) 

  • Change the invoice status to submitted

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