How to Process a Medicare Claim

Check your Medicare Summary Knowledge (MSN) when you receive it in the mail. You can also claim your Medicare online. Every three months Medicare will list a Medicare Summary Notice listing any medical services or supplies charged to Medicare within that time frame. If a service or supply does not appear on the MSN, the provider or provider cannot file a claim. According to Medicare guidelines, a claim form must be submitted within one calendar year after the year in which you receive a medical service or supply.

Print a Medicare claim form

Print a Medicare claim form

Follow the instructions for completing Request the patient’s medical payment. Type or print your name if it appears on your Medicare insurance card. Complete the form as a whole, including your email address and phone number.Indicate the claim number exactly as it is printed on your Medicare card. Close the letter at the end of the claim number. The letter is a beneficiary code that identifies you as the primary claimant, between the widow or widower, surviving divorced wife or other category.

Describe the disease or injury you are treating. Indicate whether the illness or injury is related to your work or car or otherwise an accident

Attach detailed accounts from the doctor or hospital where you receive treatment. Medicare will not process the claim if you fail to attach detailed accounts to the back of the form. Specified accounts must provide the date of service, place of service, description of each service or medical service and include the costs for each service or supply. An annoyed account should show the doctor or provider’s name and address in addition to the diagnosis.

Specify on the form whether you are employed and plan under an employee health plan.

Specify on the form whether you are employed and plan under an employee health plan.

If you retire but your spouse is still busy, indicate whether you are covered by your employee health plan. If you have `health coverage besides Medicare, give the name and address of the insurer and the name of the policyholder. Provide the policy number or medical assistance if you are receiving medical assistance with Medicare.

Sign and date the form. By signing the form, permission to release your medical information to the Social Security Administration and centers for Medicare and Medicaid Services gives you as Medicare has questions in processing your claim.