For claims you have for services that exceed this amount, they will have to be submitted on separate claims as follows: Submit the service with an acceptable dollar amount (< 99,999.99.) In the documentation field, identify this as, "Claim 1 of 2; Dollar amount exceeds charge line amount." Submit the service with CPT modifier 59.
Claims containing a dollar amount in excess of 99,999.99 will be rejected. For claims you have for services that exceed this amount, they will have to be submitted on separate claims as follows:
One of the general rules pertaining to an 837P (Part B electronic claim) transaction is the maximum number of characters submitted in any dollar amount field is seven characters. Claims containing a dollar amount in excess of 99,999.99 will be rejected.
The Standard Companion Guide for Health Care Claim: Professional (837P) clarifies and specifies data content when exchanging transactions electronically with Medicare. One of the general rules pertaining to an 837P (Part B electronic claim) transaction is the maximum number of characters submitted in any dollar amount field is seven characters.
The CMS-1500 Form is the prescribed form for claims prepared and submitted by physicians or suppliers, whether or not the claims are assigned.
Similarly, if Medicare policy requires you to report a supervising physician, enter this information in item 17. When a claim involves multiple referring, ordering, or supervising physicians, use a separate CMS-1500 claim form for each ordering, referring, or supervising physician.
The National Uniform Claim Committee (NUCC) changed the Form CMS-1500, and the revised form received White House Office of Management and Budget (OMB) approval on June 10, 2013. The revised form is version 02/12 and has replaced the previous version of the form 08/05.
Negative dollar amounts are not allowed. Do not mark as continued or the claim will be rejected as unprocessable; each CMS-1500 Form should have its own total. Do not include the amount paid by the primary insurance, co-insurance, deductibles, account balance, or payments on previous claims in this item.
Do not list other supplemental coverage in item 9 and its subdivisions at the time a Medicare claim is filed. Other supplemental claims are forwarded automatically to the private insurer if the private insurer contracts with the carrier to send Medicare claim information electronically.