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November 2, 2012

Medicare Crossover Claims and Hurricane Sandy

Due to hurricane Sandy, the Centers for Medicare & Medicaid Services (CMS) has informed us that Medicare crossover claims that would normally have gone out on Monday evening/Tuesday morning (10/29-10/30) have just been received at the Coordination of Benefits Contractor (COBC). Unfortunately, the COBC is NOT presently able to push through claims from sites on the East Coast. We do have confirmation that the first crossover files that COBA trading partners will receive are those that they would have received on Monday night/Tuesday morning (10/29-10/30). For all subsequent claim files, the COBC is working to ensure that they will be sent in installments. The schedule for accomplishing this has not yet been finalized.

Please know that CMS is committed to overseeing that all logistics for issuing retrospective crossover claim files are fully worked out. Blue Cross and Blue Shield of Kansas will process these claims as soon as they are received.