WebPT Ideas and Discovery

Whenever we're billing Medicare care claims that are secondary, we almost always get this denial: "Based on entitlement to benefits. Usage: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier IG) for the jurisdictional regulation. If adjustment is at the Line Level, the payer must send and the provider should refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment information REF). To be used for Property and Casualty only." When I call into Medicare they say its because the primary paid information is not on the claims. Most other insurances will allow you to fax information in to accompany the claims, such as remittance advice from primary payers, Medicare does not. There should be some way that we can enter the previously paid amount in box 29 on the CMS1500.