Re-Billing a New Primary Payer

If you received payment from a primary payer that you billed incorrectly, you can change the claim's primary payer and re-bill.

1. Enter the claim number in the search bar and then click the claim number in the search results. This will take you to the Claim page for that claim.

2. The "Coordination of benefits" tab is enabled by default. If it is not enabled, click the COB tab and then click the Edit icon.

3. Click the payer type button. If the new primary payer is the same as the old, this is not necessary. For example, if the old and new payer are both Commercial, then click the "Appy a new commercial insurance" button on the Primary box and enter the payer's details. If the old payer was a Commercial payer and the new one is Medicare, click the Medicare button and then fill in the necessary fields.

4. Click Save changes.

5. When you are ready, you can issue the refund to the incorrect payer.

What to expect:

• The first payer you billed will now show as disabled on COB.

• The money they gave for the claim will still be there - it will not be removed from the claim balance.

• When you submit this claim, the system will ignore the money sent from the incorrect primary payer and will bill the full claim amount.

  If this is an electronic submission, you can verify that the full payment was sent by clicking the Submission history tab and then the Readable link. Scroll down to the charges section to verify charge amounts. The total payments will read zero.

  if this is a manual submission, click the Submission history tab and then click the CMS 1500 link to view the 1500.