Medicare_Carriers_Manual / 3329 / 3329_CLAIMS,_FILING,_JURISDICTION_AND_DEVELOPMENT_PROCEDURES_01-01

Why This Topic Matters

Understanding these coordination categories is important for claims processing and payer order because they affect which coverage is primary or secondary under Medicare rules.

Article Sections

1. Working Aged

   Overview of Medicare coordination with group health plans for individuals age 65 or older who have coverage tied to employment status.

2. ESRD

   General discussion of Medicare coordination for beneficiaries entitled on the basis of ESRD during a coordination period and related manual references.

3. Disabled

   General discussion of Medicare coordination for certain disabled beneficiaries covered under large employer health plans, including references to special situations and related manual sections.