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November 23, 2015

Crossover Claims and ICD-10

The Benefits Coordination and Recovery Center (BCRC) (formerly known as the Coordination of Benefits Contractor) collects, manages and reports insurance coverage for Medicare beneficiaries. This includes facilitating the Medicare crossover process.

We were recently contacted by the BCRC regarding duplicate ICD-10 codes submitted on the same CMS-1500 claim form.

Please do not duplicate ICD-10 codes when completing Item 21 of the claim form. Doing so will result in claims flagged to crossover to a secondary insurer to suspend, aborting the crossover process.

If you have questions, the Provider Contact Center can be reached at 1.866.276.9558, Option 1.

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