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Medicare, Medicaid Cross Over Claims

Providers submit medical claims to Medicare; after Medicare processes the claims, the claims automatically crossover to Medicaid.

 

In order for automatic crossovers to happen, both the client file and the provider file in MMIS must be set up correctly, and the provider must submit claims to Medicare correctly.  If the automatic crossover doesn't happen, the provider can submit the claim to Medicaid manually.

 

For more information contact: 

 

Sharon Brydon   Ph: 303-866-5402  Sharon.Brydon@state.co.us  Fax: 303-866-3552