I have been testing with payors (Medicare B) and up until now I have been sending an AMT (loop 2320) AAE qualifier to report the allowed amount on crossover claims.
Just recently I’ve run across a Medicare B carrier that won’t accept that qualifier and insists that I send an AMT qualifier B6 to report approved amount.
What is the story here? In my line of business (transportation), these are the same (approved/allowed) and I don’t understand why this Medicare carrier can’t accept what all the others are accepting. Also, I thought it was the decision of the entity forwarding the COB claim to decide which qualifier to use. Am I completely wrong? Any direction would be greatly appreciated.
Thanks.. jenn
____________________
Jennifer Lynne Jones
Sanitas Product Manager
Pinpoint Technologies
Boulder, CO 80301
303-801-1829 (Direct)
303-801-0001 (Fax)
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