If two plans attached to a Medicare insurance category will have the claim-filing indicator of MB, which this is invalid and needs to be corrected.
- Verify on each insurance plan which insurance category is attached to the plans
- If traditional Medicare and Medicare Replacement plan is active on the patient account, verify eligibility and select the incorrect plan as inactive.
- Open the Visit for the date of service that is rejecting and unselect the incorrect plan filed on the claim.
A claim rule can be activated within Medevolve, to stop claims processing to the clearinghouse for this setup until corrected. To set this claim rule follow the following steps:
- Go to Tables
- Select Insurance
- Then select Claim Rules
- Scroll down to the MCR cannot be second to MCR and on the right had side, choose Select All
- Then select Apply
