Medicaid Secondary Payer ID Option to display in Block 11(c)

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Medicaid Secondary Payer ID/TPL # display in New HCFA 02/12 to accommodate Medicaid of South Carolina
claims filing guidelines for the new HCFA 02/12 has been added in the Payer Setup.

The Medicaid Payer ID and or TPL number is to be placed in the primary payer's setup. To access this the payer setup,
see illustration below: