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Wednesday, August 25, 2010

What is Crossover?

Piggyback or Cross over: Carriers (especially Medicare) after processing the claims, if there is a balance, Medicare will transfer the processing information of the claim to secondary carriers like Medicaid or state agencies and insurance companies that provide supplemental insurance benefits to Medicare beneficiaries electronically. The centers for Medicare & Medicaid Services (CMS) Co-ordination of Benefits (COB) program identifies the healthcare benefits available to a Medicare beneficiary and coordinates the payment process to ensure appropriate payment of Medicare benefits.

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