J5 mac prepayment review for 99233 kansas11/15/2023 ![]() ![]() Shares Medicare eligibility data with other payers and transmits Medicare-paid claims to supplemental insurers for secondary payment.Ensures claims are paid correctly by identifying the health benefits available to a Medicare beneficiary, coordinating the payment process, and ensuring that the primary payer, whether Medicare or other insurance, pays first. ![]() ![]() Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan).
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