answersLogoWhite

0


Best Answer

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....

User Avatar

Wiki User

โˆ™ 2010-04-18 19:30:06
This answer is:
๐Ÿ™
0
๐Ÿคจ
0
๐Ÿ˜ฎ
0
User Avatar
Study guides

Nutrition

22 cards

If you were laid off and apply for insurance coverage on your wife's group policy do you have to answer a medical questionnaire

How many grams of cholesterol should you eat each day to maintain a healthy diet

What would cause a fluttering inside the ear canal

Why is beef fat a solid at room temperature

โžก๏ธ
See all cards

Nutrition

23 cards

If you were laid off and apply for insurance coverage on your wife's group policy do you have to answer a medical questionnaire

How many grams of cholesterol should you eat each day to maintain a healthy diet

What would cause a fluttering inside the ear canal

Why is beef fat a solid at room temperature

โžก๏ธ
See all cards

Nutrition

23 cards

If you were laid off and apply for insurance coverage on your wife's group policy do you have to answer a medical questionnaire

How many grams of cholesterol should you eat each day to maintain a healthy diet

What would cause a fluttering inside the ear canal

Why is beef fat a solid at room temperature

โžก๏ธ
See all cards

Add your answer:

Earn +20 pts
Q: How do you bill a medical claim when a person has medicare and a supplement plan?
Write your answer...
Submit
Related questions

How does a person get reimbursed by Medicare if they buy an item that is covered by Medicare but bought by the individual?

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


Can someone claim medicare or medicaid if currently under medical coverage?

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


If you settle your medical part of workmans comp claim can you still get medicaid or medicare to pay for future medical bills for same injury?

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


How does one acquire a Medicare claim form?

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.


Patient has Medicare primary and medi cal secondary provider bills Medicare knowing Medicare contract is suspended or pending who then pays claim?

Once Medicare has "adjudicated" the bill, MediCal's payment will be based on their policy and the patient's eligibility on the date of service.


What is the name of the claim form when submitting an medicare claim?

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.


Where do you file the MEDICARE claim?

Your medicare Physician


What are Medicare approved amounts for services?

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.


What is the letter following a Medicare number for?

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


What are Medicare approved fees for various services?

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.


What is the time limit for billing Medicare for medical services?

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.


Can you claim your child's medical expense if it is his fathers year to claim him?

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


Do you need a health plan supplement when you have Medicare?

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.


Can a Medicare participating provider decide to accept assignment on a claim-by-claim basis?

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.


Where can you get Medicare claim forms?

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.


Accepting assignment on Medicare claim mean that the physicians is compensated how much percentage?

A physician is reimbursed 80% when accepting a Medicare claim.


What type of lawyer should I hire if I have a Medicare 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.


As an individual, how do I submit a claim to Medicare for reimbursement?

A claim must be mailed in to be processed.


What does crossover mean in medical insurance terms?

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.


How do you bill secondary Medicaid when Medicare is with an HMO?

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


What term explains Medicare payments and denials?

The EOB (Explanation of Benefits) is what explains Medicare's payments and denials. Sometimes it is referred to as an EOP (Explanation of Payment). This document will show all items filed on a particular claim for a particular provider. It will show which items were covered or noncovered and why, which items were denied and why, and which items were paid. It will also show the patient's responsibility as far as deductible and coinsurance goes. If the patient has a Medicare supplement or just a secondary plan and Medicare is aware who you have chosen, they will "crossover" the claim to the secondary. This means they will automatically send a notification to the secondary payor to let them know how much Medicare allowed (the total amount the provider should receive from Medicare, other insurance companies and the patient), and how much is being left to the patient/secondary.


where can I find the address to which a medicare claim is to be sent?

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


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.


What is a CMS1500 form?

A Medicare Health Insurance Claim Form


Where do you mail a medi?

What is mailing address for Medicare claim forms