The DSG Automatic Crossover module automates the "secondary" or "crossover" UB04 or 1500 claim creation -- which in turn boosts your operations efficiency. When you receive an electronic remittance advice (RA), the Automatic Crossover application will match it to its source claim and then generate a secondary claim.

For each secondary claim, a corresponding single page remittance advice is also created. In most cases these claim and RA sets can be assembled and mailed without any biller involvement. And there is no dollar minimum required

When the secondary claim is issued to Medi-Cal, the DSG system provides all revenue and procedure code, modifiers and other translations that reformat from Medicare to Medi-Cal requirements.

The secondary claim must comply with requirements set forth by the secondary payer, which many times vary drastically from those of the primary payer. Also, some secondary payers require submission of the crossover claim on paper rather than electronically. Therefore, the following is a simplified version of the process that the Automatic Crossover module follows:

1. Applies the original (primary) claim's remittance advice (RA) and creates a secondary claim for processing
   
   
2. Identifies the secondary payer, makes the necessary data conversions, corrects the claim automatically and processes it -- consistent with the secondary payer's requirements
   
   
3. Updates the claim with payment information from the primary payer's RA
   
   
4. Processes the secondary claim and submits it electronically to the fiscal intermediary (If a fiscal intermediary does not accept electronic secondary billings, the system prints a hard copy of the UB04 or 1500 claim, along with a single page RA report to attach to the claim)

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