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i have called several times but are still getting rejections when I try to send a claim to a secondary insurance. they always state this did not get mc eob. can you make this easier
I agree and have had the exact same experiences as the folks in the comments below. We are wasting huge amounts of time blacking out the other patient info on EOBS, just to have them all rejected anyway for "lack of primary EOB" that was included in the envelope with the claim form. There has to be a solution for this !
Just received 10+ secondary denials on print & mail claims. Keeping this thread alive hoping WebPT becomes aware of how serious this problem is for small outpatient clinics. I also just got this back on electronic secondary claims billed to Medicaid - PAYER RESPONSIBILITY SEQUENCE NUMBER: INVALID; MUST BE A VALID SEQUENCE NUMBER^^^\\\\R^^PAYER RESPONSIBILITY SEQUENCE NUMBER: INVALID, MUST NOT HAVE A SECONDARY PAYER WITHOUT A PRIMARY PAYER, MUST NOT HAVE A TERTIARY PAYER WITHOUT A PRIMARY AND SECONDARY PAYER [02]^^^
Claim/service lacks information which is needed for adjudication. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
Another denied print & mail Medicare secondary claim today. "250The attachment content received is inconsistent with the expected content." Using the EOB available on Therabill & a printed 1500. Back at square 1 trying to get paid $15. We need a reliable electronic solution from WebPT on ALL secondary billing.
To put it context for WebPT support - the more difficult it is to try and recoup the ~$15 Medicare secondary payment, the more likely a small practice is going to let it go and forgo that revenue. I spend 10 minutes or so to produce a single print and mail claim and EOB, plus edit the EOB to remove the other patient names and information. When this claim is rejected because the person at the payer end does not scan the EOB, the whole process has to be repeated. PLUS they may also deny for a duplicate claim when you resubmit as well as "lose" the Medicare EOB again. We need a reliable electronic solution from WebPT on ALL secondary billing.
Just opened my mail today; 10 rejected print & mail claims stating "Medicare EOB" missing despite confirming every single claim had the correct EOB included when sent to the secondary payer. Need electronic solution ASAP.
I agree most of our secondary insurances no longer cross over. TB says it's medicare and medicare says it's billing software. I agree with medicare for once these used to cross over electronically now we have wait until medicare pays then resubmit to secondary. Please fix this.
There needs to be a viable solution to bill to secondary policies when a patient has Medicare as a primary. 25% of my patient volume is Medicare, and sometimes the patient is not set up to automatically cross over. When I print & mail, 90% of the time, the secondary payer "doesn't receive" the paper EOB that is in the envelope with the 1500. The manual digital entry suggested by support staff is also a huge time waster to recoup an average of $15. PLEASE fix this so Medicare secondary's can be billed accurately without print & mail or manual entry of primary EOBs.
I agree and have had the exact same experiences as the folks in the comments below. We are wasting huge amounts of time blacking out the other patient info on EOBS, just to have them all rejected anyway for "lack of primary EOB" that was included in the envelope with the claim form. There has to be a solution for this !
Just received 10+ secondary denials on print & mail claims. Keeping this thread alive hoping WebPT becomes aware of how serious this problem is for small outpatient clinics. I also just got this back on electronic secondary claims billed to Medicaid - PAYER RESPONSIBILITY SEQUENCE NUMBER: INVALID; MUST BE A VALID SEQUENCE NUMBER^^^\\\\R^^PAYER RESPONSIBILITY SEQUENCE NUMBER: INVALID, MUST NOT HAVE A SECONDARY PAYER WITHOUT A PRIMARY PAYER, MUST NOT HAVE A TERTIARY PAYER WITHOUT A PRIMARY AND SECONDARY PAYER [02]^^^
Yet another denied print & mail secondary.
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Claim/service lacks information which is needed for adjudication. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
Another denied print & mail Medicare secondary claim today. "250The attachment content received is inconsistent with the expected content." Using the EOB available on Therabill & a printed 1500. Back at square 1 trying to get paid $15. We need a reliable electronic solution from WebPT on ALL secondary billing.
To put it context for WebPT support - the more difficult it is to try and recoup the ~$15 Medicare secondary payment, the more likely a small practice is going to let it go and forgo that revenue. I spend 10 minutes or so to produce a single print and mail claim and EOB, plus edit the EOB to remove the other patient names and information. When this claim is rejected because the person at the payer end does not scan the EOB, the whole process has to be repeated. PLUS they may also deny for a duplicate claim when you resubmit as well as "lose" the Medicare EOB again. We need a reliable electronic solution from WebPT on ALL secondary billing.
Just opened my mail today; 10 rejected print & mail claims stating "Medicare EOB" missing despite confirming every single claim had the correct EOB included when sent to the secondary payer. Need electronic solution ASAP.
I agree - most of my Tricare secondary claims reject because of "missing primary payor info" - this causes huge delays. Can you please fix this?
thank you
I agree most of our secondary insurances no longer cross over. TB says it's medicare and medicare says it's billing software. I agree with medicare for once these used to cross over electronically now we have wait until medicare pays then resubmit to secondary. Please fix this.
There needs to be a viable solution to bill to secondary policies when a patient has Medicare as a primary. 25% of my patient volume is Medicare, and sometimes the patient is not set up to automatically cross over. When I print & mail, 90% of the time, the secondary payer "doesn't receive" the paper EOB that is in the envelope with the 1500. The manual digital entry suggested by support staff is also a huge time waster to recoup an average of $15. PLEASE fix this so Medicare secondary's can be billed accurately without print & mail or manual entry of primary EOBs.