0
Want this question answered?
Be notified when an answer is posted
Add your answer:
Earn +20 pts
Where do you mail Medicare supplement claims to?
Most companies now have medicare crossover, meaning the claims are filed electronically directly with the carrier. check with your plan by calling the phone number on the back to be sure. Usually there is no paperwork for the beneficiary.
HIPAA requires covered entities to submit Medicare claims-?
The HIPAA is required on Medicare claims. The HIPAA is a persons privacy.
Where do I get the forms to file Medicare claims?
The federal goverenment maintains a website dedicated to Medicare issues. You can obtain forms to file claims on www.medicare.gov You can find out information about Medicare claims on the Medicare.gov website. On there you can learn about the Medicare Claims, Appeals Information, and Medicare Summary Notices.
What is the number required by centers for medicare and medicaid on claims for clinical diagnosis services is called?
National provider identifier
Is it easy to file Medicare claims?
Medicare claims are not easy to file. There are numerous forms involved.
Will supplemental insurance pay for auto claims that medicare doesn't?
If you are speaking of automobile claims, Medicare and Medicare supplements are not related to automobile claims. Automobile insurance should pay the claims related to the vehicle, especially if you were injured. Medicare and Medicare supplements pay hospital and medical bills related to your healthcare.
Do Medicare claims must be filed electronically?
What date did it become mandatory for Medicare claims to be filed electronically?
How do I find help in California with my medicare claims?
www.medicare.gov offers help with California medicare claims. Contact their customer service department with any questions you may have about your medicare claim.
Does medicare part a pay the difference after Blue Cross which is primary carrier paid most of the claim for skilled nursing facility I have a 290 balance due the nursing facility?
Medicare does offer coverage for skilled nursing facilties. In order to find out if Medicare will pay as your secondary, the provider needs to submit it to Medicare. This statement is from the Meidcare.gov website: Medicare providers must submit claims (bills) to Medicare for you, whether Medicare is your primary or secondary insurer. For Medicare to process a claim as a secondary payer, the provider must give your primary insurance information to Medicare. You may also consider calling 1-800-Medicare for information about secondary coverage. If you do, remember from Nov 15th to Dec 31st is a busy time for Medicare so it may be difficult to reach them. One more hint to save some frustration: If BlueCross BlueShield has already paid the amount they were supposed to pay, calling them won't really help you because their job is done. Now the remaining bill is between the provider and Medicare.
If the doctor is a non contracted provider with medicare, is the physician liable for submitting claims on behalf of the patient?
No, as a non-contracted provider with Medicare, the physician is not required to submit claims on behalf of the patient. It is the patient's responsibility to submit the claim to Medicare for reimbursement. However, the physician may choose to submit the claim as a courtesy to the patient, but they are not obligated to do so.
Can secondary insurance pay claims that are denied by Medicare?
That would be covered under the terms of your policy. In general that is what supplemental, (secondary) insurance is primarily for. Most "supplemental" plans pay the 20% that Medicare didn't pay only AFTER seeing an "explanation of benefits" statement--i.e. proof that Medicare paid their part. If Medicare denies a service all together, the supplemental plan is often under no obligation to pay at all, as they are there to "supplement" Medicare, not take the place of it in cases of denial. This is especailly true if Medicare denies because the service was deemed "not medically necessary". So, in short, no. Medicare supplements often do not cover services if they are denied by the primary (Medicare).
where do I send a medicare claims form for dental surgery?
Medicare does not cover routine dental work in New York.
