Medical Insurance
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Medicare and Medicaid

How do you bill a medical claim when a person has medicare and a supplement plan?

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2010-04-18 19:30:06
2010-04-18 19:30:06

You will bill medicare as primary and the supplement secondary. Usually if filing a HCFA 1500 electronically if the supplemental policy is on the beneficiaries Common Working File with Medicare it will automatically crossover to the supplemental policy. Hope this helps....

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You will need to contact Medicare and submit the claim directly to Medicare yourself.


Having private insurance does not make one ineligible for Medicaid or Medicare.


Many doctors and hospital will submit Medicare claims for a person. If one need to submit a Medicare form, they are available online at the Medicare website.



Only if you have Medicare or Medicaid normally. If you were declared disabled, they will pay the bills.


Paper medical bills are referred to as HCFA-1500 forms, however Medicare no longer accepts paper bills from providers, all billing must be submitted via electronic claim form. If you are asking this question as the patient, your provider should be the one submitting the bill for reimbursement from Medicare.


The letter following a Medicare number is the Medicare claim identification.


No, medical expenses for a dependent can only be claimed by the person who is claiming him or her as a dependent.


Medicare has limits on the amount of money they will pay for specific services. When a doctor or medical facility submits a claim to Medicare, Medicare will tell the provider how much money they will pay. This is normally called the "allowed amount" or the "assignment." Only Medicare themselves have access to the actual dollar amounts.


Medicare has limits on the amount of money they will pay for specific services. When a doctor or medical facility submits a claim to Medicare, Medicare will tell the provider how much money they will pay. This is normally called the "allowed amount" or the "assignment." Only Medicare themselves have access to the actual dollar amounts.


The Medicare How to File a Claim page has the steps to take of this. Good luck if you have to call Medicare. Seems like lots of friendly people with their hands tied.



No. This is false. - A Medicare participating provider can not decide to accept assignment on a claim-by-claim basis. The provider registers with Medicare as a provider that will accept assignment and must accept assignment on all patients.


The time limit for billing Medicare depends on when you receive the service. It can be between 15 months and 27 months. It is advised to call 1-800-Medicare to find out the exact time limit for filing your claim.


A Medicare attorney is the best choice for general Medicare claims. If you specifically have a claim that has been denied, there are even lawyers who specialize in denied claim cases, frequently referred to as denied claims attorneys.



You submit an EOB from the Medicare HMO with your Medicaid claim.


Yes. It depends on what is covered in your Medicare plan. There are supplemental insurance programs, like MediGap and other additional options provided either by Medicare itself, or by your own choice of providers. This answer is correct for the most part, but you don't HAVE to have a supplement when you have Medicare. It is up to you. Most people wouldn't go without a supplement. These nifty little plans can cover your deductibles and coinsurances that Medicare leaves for the patient. If your claim is high dollar, you could find yourself in trouble trying to figure out how to pay your portion of the bill. Also, Medicare itself doesn't offer any supplemental insurance. You have to shop for yourself and decide which sounds like it would help you the most. Part D supplemental coverage is for prescriptions. Medicare does not cover any prescriptions. You have to figure which drugs you are presently taking and then find a supplement that will cover most of those drugs. If your prescriptions radically change over the year, you may want to shop for a new Part D supplement when it's the time of year to add, delete or change your supplements or even purchase a Medicare Replacement Plan. Many, many choices.


Check the medicare website. www.medicare.gov This site can provide the address.


A crossover claim is the transfer of claim data from Medicare to those of another relevant insurer, private or public. The recipient of the information might be Medicaid, a state agency or a private insurance company.


A Medicare Health Insurance Claim Form


What is mailing address for Medicare claim forms


www.medicare.gov offers help with California medicare claims. Contact their customer service department with any questions you may have about your medicare claim.


whats my next action when medicare rejects a claim for adjudication? should i refile or is it a write off


To file a medicare claim yourself you go to the cms.hhs.gov and click on the CMS forms. Print out the 1490S form with the instructions and review information at medicare.gov/basics/fac.asp on how to file a claim. Before you take these steps you must call 1-800-Medicare and ask them how much time do you have to file this claim. Depending on what the service was you could have from 15 to 27 months.



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