| West Virginia Oncology Society |
CMS is informing all providers, physicians, and suppliers to an issue that occurred starting on or
about January 1, 2010, and would have negatively impacted their patients’ crossover claims.
Due to a system issue with the Common Working File (CWF), some claims are not crossing over to
the supplemental insurance carrier for benefits.
The Centers for Medicare & Medicaid (CMS), along with the CWF System Maintainer are working
towards a system solution. Therefore, CMS' recommendation to all providers, physicians, and
suppliers is as follows:
• Examine your Electronic Remittance Advice (ERA) or standard paper remittance advice to
determine if your patients' claims are identified as having been crossed over to your patients'
supplemental insurers. Remittance Remark Code MA 18 will indicate your claim has crossed over to
the supplemental insurer.
• If you determine these claims were not crossed over, you are within your rights to submit
claims to your patients' insurers for supplemental payment using methodologies acceptable to
those entities.
about January 1, 2010, and would have negatively impacted their patients’ crossover claims.
Due to a system issue with the Common Working File (CWF), some claims are not crossing over to
the supplemental insurance carrier for benefits.
The Centers for Medicare & Medicaid (CMS), along with the CWF System Maintainer are working
towards a system solution. Therefore, CMS' recommendation to all providers, physicians, and
suppliers is as follows:
• Examine your Electronic Remittance Advice (ERA) or standard paper remittance advice to
determine if your patients' claims are identified as having been crossed over to your patients'
supplemental insurers. Remittance Remark Code MA 18 will indicate your claim has crossed over to
the supplemental insurer.
• If you determine these claims were not crossed over, you are within your rights to submit
claims to your patients' insurers for supplemental payment using methodologies acceptable to
those entities.
What's New. . . . .
| URGENT UPDATE FROM CMS |