Send the completed form and supporting documentation to your Medicare contractor. Reference the Medicare Administrative Contractor Address table for the correct address to mail your claim form. If you still do not know the address of your Medicare contractor, call 1-800-MEDICARE (1-800-633-4227).
Full Answer
How do I file a claim with Medicare?
Medicare may pay you directly when you complete this form and attach an itemized bill from your doctor or supplier. Mail your completed claim form to the Medicare contractor responsible for processing your claim. If you need additional assistance, call 1-800-MEDICARE (1-800-633-4227).
How do I sign a Medicare form on behalf of a patient?
If signing this form on behalf of a Medicare patient, on the ‘Signature of Patient’ line above, indicate the patient’s name followed by “By” and sign your name. Provide your name, address, and relationship to the patient with a brief explanation why the patient cannot sign. Note: Download your information to PDF before printing.
How do I send a Medicare 1490 claim to Novitas?
Address to send Medicare 1490 claims via Priority mail or through a commercial courier (UPS, FedEx) for which a (PO Box) cannot be used, please use the following street address: Novitas Solutions, Inc. Attention: Claims Department 2020 Technology Parkway, Suite 100 Mechanicsburg, PA 17050: Maine: National Government Services, Inc. P.O. Box 6178
How do I claim Medicare for shipboard services?
For shipboard services please include a copy of the ship’s itinerary. Medicare may pay you directly when you complete this form and attach an itemized bill from your doctor or supplier. Mail your completed claim form to the Medicare contractor responsible for processing your claim.
Where do I send Medicare claims?
Medicare claim address, phone numbers, payor id – revised listStateClaim mailing addressAlabamaALAlabama Medicare Part B Claims PO Box 830140 Birmingham, AL 35283-0140GeorgiaGAGeorgia Medicare Part B Claims PO Box 12847 Birmingham, AL 35202-2847TennesseeTNTennessee Part B Claims PO Box 12086 Birmingham, AL 35202-208620 more rows
How do I submit a corrected 1500 claim?
Corrected claims should be submitted with ALL line items completed for that specific claim, and they should never be filed with just the line items that need to be corrected. Additional information about the CMS-1500 claim form is available by visiting the National Uniform Claim Committee website at www.nucc.org.
Where do I send my Medicare form CMS 1490s?
MEDICARE ADMINISTRATIVE CONTRACTOR ADDRESS TABLEIf you received a service in:Mail your claim form, itemized bill, and supporting documents to::California Southern (For Part B)Noridian Healthcare Solutions, LLC P.O. Box 6775 Fargo, ND 58108-677554 more rows
How do I submit Medicare charges?
Contact your doctor or supplier, and ask them to file a claim. If they don't file a claim, call us at 1-800-MEDICARE (1-800-633-4227). TTY: 1-877-486-2048. Ask for the exact time limit for filing a Medicare claim for the service or supply you got.
How do you correct a claim?
Make Changes, Add Reference/Resubmission Numbers, and Then Resubmit: To resolve a claim problem, typically you will edit the charges or the patient record, add the payer claim control number, and then resubmit or “rebatch” the claim.
What is the process for claim resubmission?
When you resubmit a claim, you are creating a new claim and sending it to the payer. The payer receives the claim and treats it as a new claim. To resubmit a claim, it needs to be placed back into the Bill Insurance area.
What form is used to send claims to Medicare?
CMS-1500 claim formThe CMS-1500 claim form is used to submit non-institutional claims for health care services provided by physicians, other providers and suppliers to Medicare.
How do I get a CMS-1500 form?
In order to purchase claim forms, you should contact the U.S. Government Printing Office at 1-866-512-1800, local printing companies in your area, and/or office supply stores. Each of the vendors above sells the CMS-1500 claim form in its various configurations (single part, multi-part, continuous feed, laser, etc).
What are CMS forms?
The Centers for Medicare & Medicaid Services (CMS) is a Federal agency within the U.S. Department of Health and Human Services. Many CMS program related forms are available in Portable Document Format (pdf).
Can claims be mailed to Medicare?
The Administrative Simplification Compliance Act (ASCA) requires that Medicare claims be sent electronically unless certain exceptions are met. Providers meeting an ASCA exception may send their claims to Medicare on a paper claim form.
Where is the main office for Medicare?
Baltimore, MDCenters for Medicare & Medicaid Services / Headquarters
Which are pre printed in block 21 of the CMS 1500 claim?
Item numbers 1 through 4 preprinted in Block 21 of the CMS-1500 claim. The act that regulates disclosure of confidential information. prohibts a payer from notifying the provider about payment or rejection of unassigned claims or payments sent directly to the patietn patient/policyholder.
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