US Medical Term · insurance
Crossover Claim
Reclamación cruzada
In 9 languages
| Language | Term |
|---|---|
| English | Crossover Claim |
| Spanish (Español) | Reclamación cruzada |
| Chinese (中文) | 跨保險理賠 |
| Korean (한국어) | 교차 청구 |
| Vietnamese (Tiếng Việt) | Yêu cầu bồi thường chéo |
| Filipino (Tagalog) | Crossover na claim |
| Portuguese (Português) | Sinistro cruzado |
| Thai (ภาษาไทย) | การเรียกร้องข้ามสิทธิ์ |
| Japanese (日本語) | クロスオーバークレーム |
What it means
A crossover claim is a medical claim that is automatically forwarded from Medicare (the primary payer) to Medicaid (the secondary payer) after Medicare has processed it. This applies to patients who are dual-eligible — covered by both Medicare and Medicaid. The crossover process is designed to cover any remaining cost-sharing amounts that Medicare did not pay, such as deductibles and coinsurance, so that dual-eligible patients owe little or nothing out-of-pocket. Most crossover claims are transmitted electronically without requiring extra action from the patient or provider.
How to say it
Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:
I have both Medicare and Medicaid — will my claims be sent as crossover claims automatically?
Tengo Medicare y Medicaid — ¿mis reclamaciones se enviarán automáticamente como reclamaciones cruzadas?
My crossover claim was not forwarded to Medicaid — what should I do?
Mi reclamación cruzada no fue enviada a Medicaid — ¿qué debo hacer?
As a dual-eligible patient, should I owe anything after Medicare and Medicaid process my crossover claim?
Como paciente con doble elegibilidad, ¿debería deber algo después de que Medicare y Medicaid procesen mi reclamación cruzada?
Where you'll see it
Related terms
Sources
Last reviewed: September 2026