What is “crossover claim” in medical billing?

Crossover Claim in Medical Billing

A crossover claim is a claim that is automatically transferred from a primary insurer, such as Medicare, to a secondary insurer, like Medicaid or a private insurance plan.

Crossover Claim in Medical Billing Explained

In medical billing, crossover claims streamline the billing process by eliminating the need for the provider to submit claims to both the primary and secondary insurers separately. Once the primary insurance processes the claim, it is automatically forwarded to the secondary insurance for additional payment.

For example, Medicare processes a claim and sends it directly to Medicaid to cover any remaining patient costs.

Explore acronyms and abbreviations in Medical billing glossary.

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