Question

instructions: select the most appropriate response.
when the same bcbs payer issues the primary and secondary or supplemental policies:
a. submit an attachment to the cms - 1500 claim
b. submit a remittance advice to the cms - 1500 claim
c. submit just one cms - 1500 claim
d. submit two cms - 1500 claims

Explanation:

When the same BCBS payer issues primary and secondary/supplemental policies, you submit just one CMS - 1500 claim. This is because the payer can handle the coordination of benefits internally without the need for multiple claims submissions. Submitting an attachment (a) is not the standard practice here as it's a single - payer situation. Submitting a remittance advice (b) is what the payer does to the provider, not the other way around. Submitting two claims (d) is incorrect as it's redundant for a single - payer with multiple policies under its umbrella.

Answer:

c. submit just one CMS - 1500 claim