What term describes an insurance claim for a Medicare and Medicaid patient?

What term describes an insurance claim for a Medicare and Medicaid patient?

• A. Global Billing
• B. Cross-Over Billing
• C. Crossover
• D. Medicare to Medicaid Transfer

Answer: (C)

The concept here is the automatic transfer of a Medicare claim to Medicaid for patients who are dual-eligible. When Medicare pays first as the primary payer, the claim information can cross over to Medicaid to handle secondary payment, reducing the need to file a separate Medicaid claim and helping cover remaining costs according to state rules. This term—crossover—is the standard shorthand for that automatic transfer. It captures the idea of the claim crossing from Medicare to Medicaid and being processed as a secondary payment. The other terms don’t fit: global billing relates to bundling services into one charge, not dual-eligibility claims; “Cross-Over Billing” is a variation but not the commonly used term in most contexts; and “Medicare to Medicaid Transfer” isn’t a standard billing term.

The concept here is the automatic transfer of a Medicare claim to Medicaid for patients who are dual-eligible. When Medicare pays first as the primary payer, the claim information can cross over to Medicaid to handle secondary payment, reducing the need to file a separate Medicaid claim and helping cover remaining costs according to state rules.

This term—crossover—is the standard shorthand for that automatic transfer. It captures the idea of the claim crossing from Medicare to Medicaid and being processed as a secondary payment. The other terms don’t fit: global billing relates to bundling services into one charge, not dual-eligibility claims; “Cross-Over Billing” is a variation but not the commonly used term in most contexts; and “Medicare to Medicaid Transfer” isn’t a standard billing term.