Tips to prevent claim adjustment reason code (CARC) CO B9
Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.
Where can I find other insurance information for my patient?
There are two tabs under eligibility that will provide helpful information regarding other insurance.
The Medicare Advantage plan tab will provide you with the name, address, and other information for a patient’s Medicare Advantage plan, if applicable. The MSP (Medicare secondary payer) tab will provide the reason that Medicare is secondary, as well as the other insurance effective date and term dates, name, policy number and address.
Why can’t I locate the deductible information when checking a patient’s eligibility?
- Read more about Why can’t I locate the deductible information when checking a patient’s eligibility?
If the beneficiary is enrolled as a Qualified Medicare Beneficiary (QMB), deductible information may not be available at the time of the query.
HETS (HIPAA Eligibility Transaction System) indicates periods during which the beneficiary is enrolled as a QMB and will indicate the beneficiary owes $0 for Medicare Part A and B deductibles, coinsurance, or copayments. This information will be displayed under the QMB tab within SPOT.
Will RIDP affect my credit?
No, this type of inquiry does not affect your credit score. You will not incur any charges related to this inquiry. When identity proofing, Experian creates something called a soft inquiry. Soft inquiries are visible only to you, the consumer, and no one else. Soft inquiries have no impact on your credit report, history, or score other than being recorded and maintained for 23 months.
What happens to the data submitted for identity proofing?
CMS’ IDM collects your personal information, described as data that is unique to you as an individual, such as name, address, telephone number, Social Security number, and date of birth. IDM uses this personal information only to verify your identity. Your information will be sent to Experian, an external identity verification provider, to help us confirm your identity.
PC-ACE User Guide: Section 1 - PC-ACE configuration
Once PC-ACE has been installed, the payer information, submitter information and the Provider Information within the Reference...
Where can I find more LCD resources?
You’ll find the latest LCD news and information on the Medical Coverage page. For more information, please review the finding First Coast LCDs and related coverage information -- how-to guide.
Does Medicare cover newly developed injections or innovative lab tests?
LCDs are developed to deny coverage or limit coverage of a service to specific conditions or frequencies. First Coast will consider reasonable and necessary services for payment in the absence of an LCD, billing and coding article, NCD, or CMS manual instruction limiting coverage.
How do I find out the status of an LCD? How do I submit comments on proposed LCDs?
You’ll find information regarding the status, comment periods, and release dates of proposed LCDs on the Proposed LCDs page.