Crossover claims encourage an automatic rejection from the secondary payer for any claim the primary payer has rejected.

Question

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Crossover claims are designed to facilitate the billing process when a patient has coverage under more than one health insurance plan. They are automatically forwarded from the primary insurer to the secondary insurer. The secondary insurer then processes the claim based on the primary insurer's payment or denial, but a rejection from the primary does not automatically lead to a rejection from the secondary; the secondary payer will review the claim based on its own coverage policies.

Crossover Claims Encourage an Automatic Rejection from the Secondary Payer