What form should be attached to a CMS-1500 form submitted to a secondary insurance company?

A. a copy of the CMS-1500 sent to the primary insurance company.
B. An Explanation of Benefits (EOB)
C. a copy of the patient's medical treatment record.
D. a copy of the patient's ledger card

my answer is A. please help!

I think A is correct. The secondary insurance will need to see what the original charges were AND what was paid to the primary insurance co.

actually i think that it is B. Look around pg 118 bc if you send just the CMS-1500 the insurance company wont be aware of the complete situation which could result in overpayments.

To determine the correct answer, let's discuss each option and its relevance to submitting a CMS-1500 form to a secondary insurance company:

A. A copy of the CMS-1500 sent to the primary insurance company: This option might seem logical since it involves attaching a copy of the form sent to the primary insurance company. However, it is not the standard requirement for secondary insurance submissions. Therefore, this option is not the correct answer.

B. An Explanation of Benefits (EOB): An EOB is a document generated by the primary insurance company, which provides a summary of the claim's payment or denial details. While the EOB is a record of the primary insurance company's decision, it is not specifically required to be attached to the CMS-1500 form for submission to a secondary insurance company. Therefore, this option is not the correct answer.

C. A copy of the patient's medical treatment record: A patient's medical treatment record contains detailed information about the services provided during a particular visit, including diagnoses, procedures, and other relevant information. While the secondary insurance company may request supporting medical documentation in some cases, it is not a standard requirement to attach the entire medical treatment record to the CMS-1500 form. Therefore, this option is not the correct answer.

D. A copy of the patient's ledger card: A patient's ledger card is a financial record that keeps track of the charges, payments, and outstanding balances related to a patient's account. Attaching the patient's ledger card to the CMS-1500 form is not a common requirement while submitting it to a secondary insurance company. Therefore, this option is not the correct answer.

Based on the analysis of each option, it can be concluded that none of the provided options are the correct answer. Please consult the guidelines or contact the secondary insurance company directly to understand their specific requirements for submitting a CMS-1500 form.