Skip to main content

Requesting Automatic Offset on Overpaid Part B Claim

According to Trailblazer.com Effective immediately, TrailBlazer Part B will again offer the service of automatic offset for demanded overpayments. This service was discontinued in August 2009 because of budget and workload constraints; however, recent system changes have made the process of automatic offset very efficient.
A provider/supplier may request TrailBlazer automatically offset any identified overpayments by mailing a written request to:
TrailBlazer Health Enterprises, LLC
Attn: Part B Debt Collection & Referral
3101 S. Woodlawn
Denison, TX 75020


  • The request for automatic offset may be for only one claim or the provider/supplier may request TrailBlazer always automatically offset overpayments.
  • The written request must clearly indicate if the provider/supplier is requesting TrailBlazer to offset all overpayments or only one particular overpayment.

The benefit to automatic offset is that recoupment begins immediately, reducing or eliminating the amount of interest assessed. If recoupment of the overpayment is satisfied within 30 days, the provider/supplier will be charged no interest.
When the provider/supplier requests to have overpayments automatically offset, TrailBlazer will issue a demand letter explaining the overpayment. Providers/suppliers will continue to have all appeal rights and may appeal the overpayment if they disagree with the determination.
Providers/suppliers that receive a demand letter and wish TrailBlazer to put the overpayment into automatic offset will need to notify TrailBlazer immediately as interest begins assessing 30 days from the date of the demand letter. Fax these types of requests to:
Attn: Part B Debt Collection & Referral
(903) 463-0615

Comments

Post a Comment

Popular posts from this blog

What is QMB / MQMB stands for?

In Medical billing or Healthcare industry The term QMB stands for Qualified Medicare Beneficiary & MQMB stands for Medicare Qualified Medicare Beneficiary. The term "QMB" or "MQMB" on the form indicates the client is a Qualified Medicare  Beneficiary (QMB) or a Medicaid Qualified Medicare Beneficiary (MQMB). The Medicare Catastrophic Coverage Act of 1988 requires Medicare premiums, deductibles, and coinsurance payments to be paid for individuals who meet the following criteria:  Important: Clients limited to QMB are not eligible for THSteps or THSteps-CCP Medicaid benefits.  Note: Clients eligible for STAR+PLUS who have Medicare and Medicaid are MQMBs. Medicaid reimburses for the coinsurance and deductibles as well as Medicaid-only services for the MQMB client. QMBs do not receive Medicaid benefits other than Medicare deductible and coinsurance liabilities. MQMBs do qualify for Medicaid benefits not covered by Medicare in addition ...
7 comments
Read more

Rejection Procedure note qualifier is missing

  Need to check the Charges tab and double click on the Procedure Code line to open up the Charge Entry window. There is a Notes section on the right hand side. If there is a note typed, we need to select the type.   Need to select field and select the appropriate type of note you are sending.   Save the changes made   Check all the procedure if submitted many procedure.   Save the visit again and submit the claim.
Post a Comment
Read more

Novitas Address for mailing paper claims

According to Novitas   “ Effective 04/15/2014, paper claims that were submitted to the old Novitas Solutions mailing addresses are no longer being forwarded by the postal service. The 1500 claim forms are being mailed back to the provider and will need to be resubmitted to the correct mailing address” Herewith we have enclosed the Novitas mailing address Jurisdiction H (JH) includes Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas, Indian Health and Tribal facilities as well as Veterans Affairs. General Mailing Address Novitas Solutions Attn: (dept or function name or specific person) 2020 Technology Parkway, Suite 100 Mechanicsburg, PA 17050 Addresses for Claims and Development Responses This section contains the addresses for submitting initial claims and responding to development requests for additional information. Part B Claims Novitas Solutions Attn: Part B Claims PO Box XXXX (replace the Xs with the PO Box number from ...
3 comments
Read more