George B asked:
I moved from Alabama to Missouri. In Alabama, my doctor submitted all insurance claims including Medicare. I don’t know how to start to make claims
I moved from Alabama to Missouri. In Alabama, my doctor submitted all insurance claims including Medicare. I don’t know how to start to make claims
{ 5 comments… read them below or add one }
Contact a local medicare office. They can assist you with getting the forms you need and maybe even feeling them out….on a personal note I think finding a doctor that will submitt for you is a better route.
Go to the medicare website.
however all you really need to do is make a copy of your bill from your provider. Write your medicare number on it and send it in to medicare. The website can give you the address and phone number. Make sure to send in the bill with the itemized charges and medical codes. Don’t send in a statement they will not pay off of a statment of charges.
Contact Medicare. If a Dr. sees medicare patients, that Dr. is required to file the claims, not the patient. Or, Trailblazer Health Ent. which is a medicare company, may be able to help you if you report it to them. I worked for them for several years, and we handled all these types of things, including paying Medicare claims and informing Drs about the correct way to complete the forms. Some of them don’t know that they are required to do this.
If you doctor accepts Medicare, he has to bill them! If you are talking about getting your secondary to be billed and pay, ask your Doctor office for an EOMB after you see them. This is what is used and sent to the insurance co. You can get that EOMB and send it to your insurance company and get the doctor paid very quickly off that.
I would NOT go to this doctor anymore Medicare will agree. The doctor you are currently seeing probably doesn’t accept Medicare’s standard payment. I would find a doctor that does.
Example: You may have paid the doctor $100 dollars for your last visit, but if Medicare only allows $25 dollars for the type of service you received then that’s all they will pay you back.
Making your own claim is too confusing for someone who isn’t familiar with that line of work.