We are NOT affiliated with any government agency

If my doctor submits a claim too late and it is denied, am I still responsible?

Am I still responsible for the 20% coinsurance amount if my doctor submits the claim (bill) too late and it is denied for late filing?

Providers are mandated to submit claims to Medicare on their patient's behalf. Although providers have between 15-27 months to submit a claim for reimbursement based on the date of service, sometimes a claim is not submitted timely and not considered for payment by Medicare. However, you are still responsible for the 20% coinsurance amount based on what Medicare would have allowed for the service had it not been submitted late. Your Medicare Summary Notice will inform you of the amount you are responsible to pay your provider.

FAQ_Category: 
Medicare Appeals
Ads

style="display:inline-block;width:250px;height:250px"
data-ad-client="ca-pub-4983687516516503"
data-ad-slot="3897049397">

Ads

MedicareHop.com is not affiliated with the US goverment Medicare service.
Privacy Policy.