I have a claim that I got a denial on due to the fact they have other insurance. This patient does have Medicare, however SN is only seeing this patient for medication set up and therefore not a Medicare episode, so billing the MA plan was correct. It stated in the denial that Medicare has to deny the claim before they will pay? How do I complete this process or do I process it like a Medicare claim and wait for a denial before changing it back to the MA plan?
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