When Congress passed the Omnibus Budget Reconciliation Act of 1989, it included a requirement that all providers of service and (or) supplier submit complete/valid claims on behalf of Medicare beneficiaries for services furnished on or after September 1, 1990. Congress believed this would yield more accurate information with which to evaluate Medicare expenditures and other factors such as volume and intensity of services under the Medicare Volume Performance Standard (MVPS). The standard is Congress' primary tool for managing the growth in Medicare Part B expenditures for physician services.
Providers and/or suppliers who do not accept assignment may continue to request payment in full at the time that the service is provided. We encourage you to file the claims at the same time you request payment. This will reduce a potential financial hardship for the patient and reduce future inquiries to you about the status of the claim.
Providers and/or suppliers must file claims on behalf of Medicare beneficiaries for non-covered services in order to get the information necessary to submit to other insurers upon the beneficiary's request.
To ensure claims are filed timely, please review Timely Filing Requirements.
Mailing Addresses can be found on the Contact Us (JH) (JL) page of our website.
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