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eClaims - Common Rejections - Medicare/Tricare Claims

Tricare with Medicare claim submission
Rejection Message:

  • CLAIMS WITH MEDICARE OTHER PAYER CANNOT BE SENT TO THIS PAYER, PLEASE USE TRICARE FOR LIFE (Bad Data: MB )

This rejection will present itself when a patient has Medicare as a primary insurance and Tricare as a secondary insurance. Normally claims would be sent to Tricare using payer IDs CH001, CH002, or CH003 depending on the region. However, when a patient has Medicare as a Primary, standard Tricare regions won't process the secondaries. In this instance the claims need to be sent to Tricare for Life; payer ID TDDIR. Tricare for Life does require additional enrollment separate from standard Tricare; that will need to be completed before claims can be submitted.

Contact MacPractice EDI support for more information or email enrollments@macpractice.com to get enrolled for Tricare for Life (TDDIR).

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