Overview of Electronic Secondary Claims (COB)
Overview of Electronic Secondary Claims (COB)
Overview of Electronic Secondary Claims (COB)
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<strong>Electronic</strong> <strong>Secondary</strong> <strong>Claims</strong> (<strong>COB</strong>) <strong>Overview</strong>-NextGen® PM<br />
When filing Medicare <strong>Secondary</strong> Payer (MSP) 837I/UB claims electronically specific codes are required.<br />
E.g. Condition Codes, Value Codes, Occurrence Codes. Enter these codes with their respective amounts<br />
on the Encounter>UB tab while posting the primary payment. The <strong>COB</strong> window does not<br />
Medicare has indicated overpayments occurring when a provider does not correctly indicate on the claim<br />
if there is a contractual arrangement between the provider and the primary payer.<br />
To do this, the provider must report either a Condition Code 77 or Value Code 44 and the expected<br />
amount.<br />
Shown Above: Encounter>UB>Value Codes<br />
NEXTGEN® Healthcare, Inc. EPM<strong>Claims</strong><br />
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V5.6SP1 Sept2010 Page 22 <strong>of</strong> 29
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