HealthCare News

Medicare—Cost Share

Issue: #409 Jul2019

Topic: Coding/Billing


Blue Cross Blue Shield of North Dakota (BCBSND) has identified several claims where Medicare is primary, yet copay information is being submitted. This is causing incorrect payment and/or rejections. Medicare does not apply a copay for services other than hospice, therefore that field should be left blank. This issue is specific to claims that were sent directly to BCBSND (they did not cross over electronically to BCBSND from Medicare).