Medicare_Carriers_Manual / 2312 / 2312.4_Source_of_Part_B_Claims.--

Why This Topic Matters

Understanding claim routing and processing responsibilities helps ensure foreign-service Medicare claims are sent to the correct administrative entity and handled consistently with Medicare manual guidance.

Article Sections

1. Source of Part B Claims

   Describes how Part B claims related to services furnished in Canada or Mexico are routed between fiscal intermediaries and carriers. It outlines the administrative handling of claims depending on whether the related inpatient hospital services are covered.

2. Foreign Claims Processing Responsibilities

   Lists the fiscal intermediaries responsible for processing Canadian and Mexican claims by geographic area. The section organizes responsibility by country and region for administrative claim handling.

3. Claim Processing When Part A Is Covered or Denied

   Explains the general sequence used when the related Part A claim is reviewed before the Part B claim is forwarded for further consideration. It also notes the handling of claims for services provided outside Canada and Mexico.