Correcting HCFA Form 1500

Management and Administration
1

I have an insurance company that is requesting certain information in boxes 9, 9a, 9d, and 11d when billing secondary claims on HCFA Form 1500. These requirements are only required by that one insurance company. I am not having any other issues when sending secondary HCFA forms for payment. How do I make these changes to match the insurance requirements?

2

Hi @ameaux, do you know if it’s possible to send them an electronic secondary claim?

3

I cannot send them electronically as secondary because I have to send the EOB from the primary with the HCFA. The secondary insurance is Louisiana Health Care Connections.

4

All of that info will be included in the secondary claim. What clearinghouse do you use?

I found Louisiana Health Connections with a payer ID of 68069 that accepts secondary electronic claims so it certainly looks possible.

5

I use ClaimRev and I have also used Trizetto and have always had to send the secondary claims on HCFA forms.

6

I suggest giving the electronic submission a try unless @brad thinks other wise. We send them all the time since it’s so much easier than resorting to HCFAs.

7

Thanks for the advice. I will reach out to Brad.