QualChoice accepts 5010-compliant COB claims for processing. The segments required for proper submission of COB data are in the 2000B Loop, the 2320 Loop, the 2330A Loop, the 2330B Loop, and the 2430 Loop. Please consult your EDI billing software for more information regarding submission of electronic COB claims.
Secondary Payer and COB Rules for Medicare Claims
For correct processing of secondary payer Medicare claims click here.
Secondary Payer and COB Rules for Commercial Claims
For correct processing of secondary payer Commercial claims click here.
Marketplace Members ID Card Alert
QualChoice members whose policies were purchased on the Health Insurance Exchange now have access to the full QualChoice statewide network, effective January 1. We have issued new cards for these members, displaying the statewide network information. All ID numbers remain the same.