ID: NYMC2
Government/Medicare/Medicaid
NY

NY Medicaid-Medicare Crossover, Paper, Adjustments

New York State Medicaid’s Medicare crossover process accepts paid Medicare claim data (via the COBC/GHI) and processes Medicaid payment of patient responsibility amounts (deductible, coinsurance, copay), streamlining payment for dual‑eligible beneficiaries.

Capabilities

Professional Claims (1500)
Institutional Claims (UB-04)
Electronic Attachments
Workers' Comp
ERA/Remittance
Eligibility Verification
Claim Status Inquiry
Prior Authorization
Dental Claims
Secondary Claims
Real-Time Processing

Alternative Names

Name Payer ID
NY Medicaid-Medicare Crossover, Paper, Adjustments NYMC2
NY Medicaid-Medicare Crossover NYMC2

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