CLAIMS WITH MEDICARE OTHER PAYER CANNOT BE SENT TO THIS PAYER, PLEASE USE TRICARE FOR LIFE

Rejection Details:

This rejection means that standard Tricare payers (North region, South region, etc.) do not accept claims that have other payer of Medicare. These claims must be submitted through Tricare For Life or any plan as per the insurance’s instructions

Resolution:

  • Go to patient’s profile from Patient’s module
  • Click on Patients Demographics
  • Click on Patient’s insurance tab
  • Click on add and add a new plan as per the given instructions from Medicare as the claim has to be routed towards Tricare or if any other plan is mentioned
  • Add the new insurance and deactivate the previous one
  • Check the real time elegibility and resubmit the claims