November 4, 2005 Updated: December 5, 2005
The information in this article is no longer accurate/applicable.
Alert Regarding End of Eligibility-File Based Crossover Processes
The CMS decided that it will not continue to maintain both an eligibility file-based crossover process at all Medicare contractors and the consolidated COBA process at the COBC. Therefore, Medicare contractors shall no longer cross claims over to trading partners pursuant to signed crossover agreements and the submission of eligibility files beyond December 31, 2005. As of that date, the COBC will exclusively cross over all claims to trading partners in the HIPAA ANSI X12-N 837 COB formats via the eligibility file-based COBA process, unless Medicare contractors request specific waivers on behalf of current trading partners. Waivers will be granted on a case-by-case basis and must include a justification for not testing the COBA process with the COBC.
Please send your waiver request to michael.counts@cigna.com and Darrell.Stafford@cigna.com.
