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How to manually file a claim with Medicare

By | Making the Most of your Medicare | No Comments

In the rare occasion that your doctor does not file a claim for you with Medicare, don’t worry! you can actually file the claim yourself and it is pretty easy. You will need to follow the instructions on this document and make sure you provide as much supporting documentation as possible including: A copy of the bill Your Medicare information The doctor’s NPN (call the doctor who treated you and ask them for it) http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS1490S-ENGLISH.pdf The process is pretty straight forward and a decision is usually provided within 30 days. Please send the completed claim form, your itemized bill, and any supporting documents to the appropriate Medicare contractor and explain in detail your reason for submitting the claim. For example, include a statement that notifies the Medicare contractor that your provider or supplier refused or is unable to file a claim for a Medicare-covered service and/or is not enrolled with…

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