Reprocessing of Crossover Claims

On October 7, 2013, the NCTracks payment calculation was modified to more precisely pay Medicare crossover claims in accordance with State law and the North Carolina State Plan approved by the Centers for Medicare and Medicaid Services (CMS) on a claim specific basis. As noted in the Provider Portal announcement (see link below), Medicare crossover claims previously processed by NCTracks with dates of service on and after July 1, 2013 will be reviewed and re-processed, if necessary. That reprocessing of crossover claims began this past weekend and will be reflected in the Remittance Advice and EFT for the checkwrites on February 4 and 11, 2014. No action is required by providers.