A Message from CMS - April 30, 2021
This information has been communicated to us by a vendor: CMS
Coordination of Benefits: Parts A & B Crossover Claims Issue
Due to an April 8-15 systems issue, Medicare didn’t send Part A and Part B (including Durable Medical Equipment (DME)) crossover claims to some supplemental payers. We corrected this issue on April 16; however, it impacts claims finalized through approximately:
- April 25 (electronic claims)
- May 11 (paper claims)
If this issue affected your patients’ supplemental payer (listed below), bill them using your normal procedures (if Medicare claims weren’t crossed over).
Impacted COBA Trading Partners by COBA ID |
|
Claim Type: Part B (837 professional non-DME MAC claims) |
|
**Note: Blue shading indicates receiving "test" only claims.** |
|
COBA ID |
COBA Trading Partner Name |
0000000009 |
THE REGENCE GROUP IDAHO |
0000000010 |
THE REGENCE GROUP BLUE SHIELD |
0000000017 |
TRANSAMERICA PREMIER LIFE INS |
0000000030 |
HIGHMARK INC |
0000000033 |
GHI PPO |
0000000034 |
GHI PPO |
0000000035 |
GHI PPO |
0000000036 |
GHI PPO |
0000000037 |
GHI PPO |
0000000041 |
HCSC-BCBS OF IL,OTHER B ONLY |
0000000042 |
HCSC-BCBS OF NM-OTHER B ONLY |
0000000044 |
HCSC-BCBS OF TX-OTHER B ONLY |
0000000076 |
CAREFIRST |
0000000082 |
UNITEDHEALTHCARE |
0000000091 |
EMPIRE BLUE CROSS BLUE SHIELD I |
0000000106 |
CAREFIRST |
0000000107 |
CAREFIRST |
0000000109 |
EMPIRE BLUE CROSS BLUE SHIELD II |
0000000139 |
ANTHEM BCBS MAINE |
0000000140 |
ANTHEM BCBS NEW HAMPSHIRE |
0000000141 |
ANTHEM BCBS CONNECTICUT |
0000000185 |
BLUE CROSS OF IDAHO |
0000000190 |
HIGHMARK WEST VIRGINIA |
0000000224 |
UNITEDHEALTHCARE |
0000000318 |
HCSC-BCBS OF OK-OTHER B ONLY |
0000000322 |
WEBTPA EMPLOYER SERVICES |
0000000360 |
MEDICA, PART B ONLY |
0000000392 |
BCBS OF NEBRASKA |
0000000457 |
HEALTH CARE SERVICE CORP, BCBS |
0000000503 |
HEALTH CARE SERVICE CORPORATION |
0000000532 |
INDEPENDENCE BLUE CROSS |
0000000536 |
BLUE SHIELD OF CALIFORNIA |
0000000545 |
BCBS OF MINNESOTA |
0000000597 |
BLUE CROSS BLUE SHIELD OF ND |
0000000599 |
BLUE CROSS BLUE SHIELD OF WY |
0000000627 |
BLUECROSS BLUESHIELD OF NEBRASKA |
0000030000 |
TRANSAMERICA PREMIER LIFE INS |
0000030002 |
UNITEDHEALTH GROUP |
0000030006 |
TRANSAMERICA PREMIER LIFE INS |
0000030017 |
HIGHMARK INC |
0000030030 |
LIBERTY NATIONAL LIFE INSURANCE |
0000030032 |
GLOBE LIFE & ACCIDENTAL INS CO |
0000030034 |
UNITED AMERICAN INSURANCE CO |
0000030035 |
GLOBE LIFE INSURANCE COMPANY NY |
0000030055 |
GUARANTEE TRUST LIFE INS CO |
0000030068 |
CONSECO SERVICES - COLONIAL PENN |
0000030103 |
GUARANTEE TRUST LIFE INS CO |
0000030107 |
ANTHEM BCBS NORTHEAST - PART B |
0000030111 |
CENTRAL UNITED LIFE INSURANCE |
0000030117 |
HIGHMARK WEST VIRGINIA |
0000030152 |
BANKERS FIDELITY LIFE INS CO |
0000030154 |
BLUE CROSS OF IDAHO |
0000030176 |
AMERICAN REPUBLIC/ENTERPRISE |
0000030208 |
AMERICAN REPUBLIC/ENTERPRISE |
0000030233 |
UNITED AMERICAN INSURANCE CO |
0000030237 |
MEDICO INSURANCE COMPANY |
0000030239 |
MEDICO INSURANCE COMPANY |
0000030256 |
BCBS OF NEBRASKA |
0000030278 |
AMERICAN REPUBLIC/ENTERPRISE |
0000030280 |
AMERICAN REPUBLIC/ENTERPRISE |
0000030292 |
UNITED NAT'L LIFE INS CO OF AMER |
0000030338 |
GUARANTEE TRUST LIFE INS CO |
0000030339 |
GUARANTEE TRUST LIFE INS CO |
0000030370 |
BCBS OF MINNESOTA |
0000030390 |
BLUE CROSS BLUE SHIELD OF WY |
0000030400 |
BLUECROSS BLUESHIELD OF NEBRASKA |
0000030403 |
BLUE CROSS BLUE SHIELD OF ND |
0000030404 |
INDEPENDENCE BLUE CROSS |
0000070031 |
COMMONWEALTH OF PENNSYLVANIA |
0000077019 |
DELAWARE MEDICAID - HIGHMARK MCO |
0000077095 |
CA MEDICAID-CENTRAL CA ALLIANCE |
0000077105 |
AZ MEDICAID-BANNER-UNIV FAM CARE |
0000080007 |
HIGHMARK INC |
0000080009 |
HCSC-BCBS OF IL-FEP B ONLY |
0000080011 |
HCSC-BCBS OF NM-FEP B ONLY |
0000080012 |
HCSC-BCBS OF TX-FEP B ONLY |
0000080021 |
TRIPLE-S INC |
0000080050 |
BLUE CROSS BLUE SHIELD OF WNY |
0000080070 |
NORTHWEST ADMINISTRATORS,INC. |
0000080074 |
BLUE CROSS OF IDAHO |
0000080076 |
HIGHMARK WEST VIRGINIA |
0000080081 |
CHCS SERVICES INC |
0000080110 |
COMMUNITY FIRST HEALTH PLANS |
0000080113 |
EXCELLUS HEALTH PLANS |
0000080124 |
HCSC-BCBS OF OK-FEP B ONLY |
0000080189 |
PREMERA BS FEP/EASTERN WA |
0000080192 |
PREMERA BCBS FEP/ALASKA |
0000080199 |
BCBS OF NEBRASKA |
0000080210 |
GILSBAR LLC |
0000080255 |
CHCS SERVICES INC |
0000080257 |
CHCS SERVICES INC |
0000080262 |
HEALTH CARE SERVICE CORPORATION |
0000080275 |
BCBS OF MINNESOTA |
0000080294 |
BLUE CROSS BLUE SHIELD OF ND |
0000080295 |
BLUE CROSS BLUE SHIELD OF WY |
0000080304 |
BCBS OF NEBRASKA |
0000089002 |
CONSOLIDATED ASSOC. OF RR EMP |
0000089003 |
SCOTT & WHITE HEALTH PLAN |
0000089004 |
C&O EMPLOYEES HOSPITAL ASSOC |
0000089005 |
WABASH MEMORIAL HOSPITAL ASSOC |
0000089006 |
HEALTHSMART BENEFITS SOLUTIONS |
0000089009 |
MEDICAL ASSOC HEALTH PLAN INC |
0000089010 |
ROCKY MOUNTAIN HEALTH MAINTENANC |
0000089012 |
NYHTC & HANYC HEALTH FUND |
0000000435 |
LIBERTY NATIONAL LIFE INSURANCE |
0000000547 |
INDEPENDENCE BLUE CROSS |
0000000633 |
IRON WORKERS LOCAL 40 361 417 |
0000030293 |
UNITED NAT'L LIFE INS CO OF AMER |
0000030341 |
NATIONAL GUARDIAN LIFE INS CO |
0000030342 |
NATIONAL GUARDIAN LIFE INS CO |
0000080232 |
COOPERATIVE BENEFIT ADMIN/NRECA |
0000088126 |
MEDICO INSURANCE COMPANY |
0000088128 |
MEDICO INSURANCE COMPANY |
0000088130 |
AMERICAN REPUBLIC/ENTERPRISE |
0000088132 |
AMERICAN REPUBLIC/ENTERPRISE |
0000088133 |
AMERICAN REPUBLIC/ENTERPRISE |
0000088134 |
AMERICAN REPUBLIC/ENTERPRISE |
0000088224 |
CONSECO SERVICES - COLONIAL PENN |
0000088241 |
GILSBAR LLC |
Impacted COBA Trading Partners by COBA ID |
|
Claim Type: Part B (837 professional DME MAC claims) |
|
COBA ID |
Name |
0000000061 |
BLUE CROSS BLUE SHIELD OF MI |
0000000108 |
EMPIRE BLUE CROSS BLUE SHIELD II |
0000077084 |
CA MEDICAID-ALAMEDA ALLIANCE FOR |
0000080079 |
CHCS SERVICES INC |
0000080260 |
CHCS SERVICES INC |
0000000095 |
ANTHEM BCBS CONNECTICUT |
0000000096 |
ANTHEM BCBS NEW HAMPSHIRE |
0000000097 |
ANTHEM BCBS MAINE |
0000000148 |
ANTHEM BCBS VIRGINIA |
0000000295 |
C&O EMPLOYEES HOSPITAL ASSOC |
0000000626 |
BLUECROSS BLUESHIELD OF NEBRASKA |
0000030067 |
ANTHEM BCBS NORTHEAST REGION |
0000030091 |
MUTUAL OF OMAHA INSURANCE COMP |