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Medicare does not cover routine dental work in New York.

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Q: Where do I send a medicare claims form for dental surgery?
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To file a Medicare claim yourself, you will need to print out and complete the form called Patient’s Request for Medical Payment, Form CMS 1490S. The form is available for download on cms.hhs.gov in the CMS Forms section. Once there, you will need to do three things: (1) print out the 1490S form; (2) select and print out the applicable instructions; and (3) if you have any questions contact Medicare at 1-800-medicare.


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Where do you mail a Medicare claim form?

If you are in the Original Medicare Plan, providers (e.g., hospitals, skilled nursing facilities, home health agencies, and physicians) and suppliers are required by law to file Medicare claims for covered services and supplies that you receive. You should not need to file any Medicare claims. Medicare claims must be filed within one full calendar year following the year in which the services were provided. For example, if you see your physician on March 22, 2004, the Medicare claim for that visit must be filed by December 31, 2005. For more information: http://www.medicare.gov/Basics/FAC.asp


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What does CMS stand for on 1500 form?

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