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How would doctor know if you have Medicare or Medicare Advantage?
Wiki User
∙ 13y ago
If you have Original Medicare only, then you would provide your doctor with a copy of your Original Medicare card so that he/she has the correct information to bill Medicare.
If you enroll in a Medicare Advantage with a private insurance company, they will issue you an ID card indicating the name of your plan and your ID number. You would no longer show your Original Medicare card to your doctor, but instead show him your Medicare Advantage ID Card. Medicare would have assigned the right to administer your benefits over to the private company and they would no longer process claims they might receive from your doctor. Your new ID card will provide information on where to bill for services rendered. Keep in mind that most Medicare Advantage Plans require you to use network doctors so you should make sure your doctor is within the network your looking to join before you enroll. Otherwise you would most likely be responsible for the entire bill.
Wiki User
∙ 13y ago
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A medical biller need to know everything about how Medicare works because if a procedure or office visit is not coded and submitted according to their rules, Medicare will not pay for it. Medicare is a little more strict than other insurance providers are, but a medical biller needs to be familiar with how every insurance provider which their facility accepts works.
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Will your doctor contact you or will you have to contact the doctor?
I will contact the doctor because i know never one know when the illness come to ours.I would not blame my doctor because it not their false.
