How to Submit Claim to the Secondary Payer

How to Submit Claim to the Secondary Payer

Overview

This article walks you through submitting a claim to the secondary payer in Billing Worklist.

See Also

Before submitting a claim to the secondary payer, make sure the claim has been successfully submitted to the primary payer. For more information, see How to Submit Claim to the Primary Payer.

Submitting a Claim to the Secondary Payer

After the claim is submitted to the primary payer, you can post the primary payment using ERA (Electronic Remittance Advice) or MPP (Manual Payment Posting).

After the primary payment is posted, the remaining balance is transferred to the secondary payer, and the claim status changes to Ready for Secondary.


Finding Claims Ready for Secondary Submission

Claims with a Ready for Secondary status appear in the Ready bucket.






Submitting the Claim

After the claim has a Ready for Secondary status, submit it to the secondary payer.

After you submit the claim, a success message appears, and the claim moves to the Billed bucket.



Viewing the Submitted Claim in the Billed Bucket

After the claim is successfully submitted to the secondary payer, it appears in the Billed bucket.


Reviewing and Fixing Secondary Claim Errors

If the claim cannot be submitted to the secondary payer, it moves to the Error bucket.

The claim can have either of the following statuses:

  • Ready for Secondary - Validation Failed

  • Ready for Secondary - Submission Failed




Review and fix the errors, then submit the claim again.


FAQs

When can I submit a claim to the secondary payer?
You can submit the claim to the secondary payer after the primary payment has been posted and the claim status changes to Ready for Secondary.

How can I post the primary payment before submitting the claim to the secondary payer?
You can post the primary payment through ERA (Electronic Remittance Advice) or MPP (Manual Payment Posting).

Where can I find claims that are ready for secondary submission?
Claims with a Ready for Secondary status appear in the Ready bucket.

What happens after I submit a claim to the secondary payer?
A success message appears, and the claim moves to the Billed bucket.

Where can I find a secondary claim that could not be submitted?
A claim that cannot be submitted to the secondary payer moves to the Error bucket.

What statuses can a secondary claim have when it moves to the Error bucket?
The claim can have either Ready for Secondary - Validation Failed or Ready for Secondary - Submission Failed.

What should I do if a secondary claim fails?
Review and fix the errors, then submit the claim again.

Where can I find instructions for submitting a claim to the primary payer?
See How to Submit Claim to the Primary Payer.


Need Help?

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