Must-Know About Medicare Claim Forms
Applying for Medicare and meeting all its pre-requisites are one thing, but being informed about what Medicare claim form is another important thing to know. Here are some handy steps and guidelines on asking for a Medicare claim or filing a Medicare claim yourself.
For the members of Medicare Part A and Part B (also referred to as Original Medicare), your physicians and suppliers are obligated by the law to file a Medicare claim form of your covered health expenditures and services. However, if you are a member of Medical Advantage or Medicare Part C, this type of plan is not obligated to file a Medicare claim form because the private insurance companies received a certain amount of payment every month from Medicare.
The first thing you should do in filing a claim is to ask your physician if he or she accept an assignment because it will facilitate Medicare to set up the payment for a particular medical or health services (this is also called Medicare-approved amount). The physician "accepted the assignment" if he or she is satisfied with what Medicare will pay him or her and will not ask for any payment from you anymore.
Please note that not all physicians, health care providers or suppliers always accept the assignment. If this case happens, you are responsible to pay the bills and wait for Medicare's compensation for it. On your behalf, the physician or health care provider is still obligated to file a medicare claim form.
In case your physician or suppliers file a claim untimely, you can follow these simple procedures:
1. Contact your physician or health care provider and ask him or her to file a Medicare claim form.
2. If you have already contacted your physician or health care provider and he or she still did not file a medicare claim, contact 1-800-Medicare. You can also ask them about the time limit of filing a medicare claim for the health services that you received. This is a very important matter because if you fail to submit or file your claim within the stated time limit, the Medicare will not be able pay you its share. Be sure to ask for the exact time limit.
3. Filing a medicare claim form yourself is only done in very occasional circumstances such as you have already contacted your physician and 1-800-Medicare, your physician still has not file a claim and your time limit for filing one is nearing.
In case you are the one who will file the claim, you will have to fill out and print out a copy of Patient's Request for Medical Payment, form CMS 1490S. You can find this form at cms.hhs.gov, it is available for download.
After completely filling out the form, selecting applicable procedures and reviewing the necessary information on claiming a form, call 1-800-Medicare again. You can also ask further questions and guidelines about how to complete the form.
To save time and effort look around the web for physicians and suppliers who accepts assignments around your area.
For the members of Medicare Part A and Part B (also referred to as Original Medicare), your physicians and suppliers are obligated by the law to file a Medicare claim form of your covered health expenditures and services. However, if you are a member of Medical Advantage or Medicare Part C, this type of plan is not obligated to file a Medicare claim form because the private insurance companies received a certain amount of payment every month from Medicare.
The first thing you should do in filing a claim is to ask your physician if he or she accept an assignment because it will facilitate Medicare to set up the payment for a particular medical or health services (this is also called Medicare-approved amount). The physician "accepted the assignment" if he or she is satisfied with what Medicare will pay him or her and will not ask for any payment from you anymore.
Please note that not all physicians, health care providers or suppliers always accept the assignment. If this case happens, you are responsible to pay the bills and wait for Medicare's compensation for it. On your behalf, the physician or health care provider is still obligated to file a medicare claim form.
In case your physician or suppliers file a claim untimely, you can follow these simple procedures:
1. Contact your physician or health care provider and ask him or her to file a Medicare claim form.
2. If you have already contacted your physician or health care provider and he or she still did not file a medicare claim, contact 1-800-Medicare. You can also ask them about the time limit of filing a medicare claim for the health services that you received. This is a very important matter because if you fail to submit or file your claim within the stated time limit, the Medicare will not be able pay you its share. Be sure to ask for the exact time limit.
3. Filing a medicare claim form yourself is only done in very occasional circumstances such as you have already contacted your physician and 1-800-Medicare, your physician still has not file a claim and your time limit for filing one is nearing.
In case you are the one who will file the claim, you will have to fill out and print out a copy of Patient's Request for Medical Payment, form CMS 1490S. You can find this form at cms.hhs.gov, it is available for download.
After completely filling out the form, selecting applicable procedures and reviewing the necessary information on claiming a form, call 1-800-Medicare again. You can also ask further questions and guidelines about how to complete the form.
To save time and effort look around the web for physicians and suppliers who accepts assignments around your area.
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