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Medicare Corrected Claims

July 31, 2020

To submit corrected claims for services provided to a Medicare primary member:

  • File the corrected claim directly to Medicare, not Blue Cross and Blue Shield of Texas (BCBSTX).
  • Follow the same process for filing corrected claims for Medicare primary members just as if filing the claim for the first time to Medicare.
  • Medicare will process the corrected claim and forward that claim directly to the member's home plan for secondary processing.

Determine if the claim has been forwarded to the member's home plan by reviewing the Explanation of Medicare Benefits (EOMB). It will indicate "Crossover" or "XOVER" which tells the physician and/or facility that the claim was submitted to the member's home plan for secondary processing.

For questions on the status of a claim, call our Interactive Voice Response (IVR) phone system at 1-800-451-0287.