Issued: June 10, 2025
Partners Health Management is now processing Medicare Crossover claim files received from NCTracks for dual-eligible members (Medicare and Medicaid coverage) in our coverage area.
What do providers need to do?
Providers with dual-eligible members will only need to directly submit claims when the following applies:
- Medicaid requires a different billing format than Medicare for a procedure code.
- Member has additional third-party coverage.
Providers will receive an email if files are unable to be ingested for processing. Providers will need to submit those claims directly to Partners for processing.
Who can providers contact if they have questions?
If you have questions, please email ClaimsDepartment@PartnersBHM.org.
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