![]() Visit the CAQH website for more information on COB Smart We participate in COB Smart™, a Council for Affordable Quality Healthcare ® solution. In these cases, you don't have to send us a Medicare primary COB claim. If the Medicare electronic remittance advice (ERA) or Explanation of Payment (EOP) contains an "MA 18" or "N89" remark code, the Medicare carrier has automatically sent us your claim. ![]() * We can accept both Medicare Part A and Part B claims electronically from Medicare. Use one of our vendors to submit COB claims They may have their own guidelines or tips about submitting COB claims. When Aetna is secondary, you will need to include the appropriate code on your claim that tells us information about the primary payer’s payment.Ĭontact the practice management support team and/or the clearinghouse you use to submit your electronic claims. Medicare primary claims for which Medicare* has not already forwarded their claims and payment information to us.Commercial insurance claims in which another payer is primary and Aetna is secondary.We will inform you if the patient is covered and which plan is primary. When a patient comes to you, you can submit an eligibility and benefits inquiry. It also helps avoid overpayment by either plan and gets you paid as quickly as possible. It helps determine which company is primarily responsible for payment. This process lets your patients get the benefits they are entitled to. Coordination of benefits (COB) occurs when a patient is covered under more than one insurance plan.
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