Question

When the same payer issues the primary and secondary or supplemental policies, submit just one CMS-1500 claim. a) True b) False

Answer 1

When the same payer issues primary and secondary policies, a single CMS-1500 claim should be submitted.

Step-by-step explanation:

When the same payer issues the primary and secondary or supplemental policies, a single CMS-1500 claim form should be submitted.

This is true because submitting separate claims for primary and secondary policies can lead to confusion and potential billing errors. By submitting a single claim, the payer receives all the necessary information in one submission, streamlining the process.

For example, if a patient has both Medicare (primary) and a private insurance (secondary), the same payer would issue both policies. In this case, a single CMS-1500 claim should be submitted to the payer.

Answer 2

It is true that when the same payer issues the primary and secondary or supplemental policies, you should submit just one CMS-1500 claim.

Step-by-step explanation:

When the same payer issues the primary and secondary or supplemental policies, you should indeed submit just one CMS-1500 claim.

This is because the primary and secondary or supplemental policies are associated with the same payer, so it is more efficient to submit a single claim for both.

Submitting one claim ensures that all the necessary information is included and reduces the potential for errors or duplication in the billing process.