A system issue was encountered in mid December in which the "provider accept assignment indicator" was not processed correctly for Medicare Crossover claims. Claims received that had an "N" populated in the "Accept Assignment Field" resulted in payments being made to the provider when the payment should have gone to the member. This system issue was corrected in February and reports of the impacted claims have been created and are currently under review.

We apologize for any inconvenience this has caused you or your patients and we would be happy to work with you to rectify the payment issue if necessary. If you have questions, please contact your assigned Provider Network Consultant.