tci Medicare Compliance & Reimbursement - 2005 Issue 36

Medigap: No Money For 'None' Or 'Other' Medigap Claims

C11 denials frequently befuddle physicians.Medicare Remittance Notices are often confusing and fail to provide enough info about why a claim was denied.Simple problems with filling out the CMS-1500 claim form can cause mystifying denials, say experts. A recent set of "frequently asked questions" from Part B carrier TrailBlazer's Internet site gives some examples of the problems physicians may have run into.TrailBlazer says that as of June 30, it no longer allows providers to list 99999, "none," or "other" for Medigap insurer. Anyone who tries to answer the question about Medigap insurer with any of those...

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