In a crossover payer setup, Epic will do what to the secondary payer's claim?

In a crossover payer setup, Epic will do what to the secondary payer's claim?

• A. forward
• B. suppress
• C. duplicate
• D. escalate

Answer: (B)

In a crossover payer setup, Epic suppresses the secondary payer’s claim. The crossover process links the primary adjudication to the secondary payer so that the secondary claim isn’t sent as a separate submission, preventing duplicates. The system relies on the cross‑over flow to communicate with the secondary payer, so a separate secondary claim would be unnecessary and could create duplicates. Forwarding or duplicating would duplicate work and payments, while escalation isn’t part of this automatic workflow.

In a crossover payer setup, Epic suppresses the secondary payer’s claim. The crossover process links the primary adjudication to the secondary payer so that the secondary claim isn’t sent as a separate submission, preventing duplicates. The system relies on the cross‑over flow to communicate with the secondary payer, so a separate secondary claim would be unnecessary and could create duplicates. Forwarding or duplicating would duplicate work and payments, while escalation isn’t part of this automatic workflow.