decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Medicare_Claims_Processing_Manual / Chapter_26 / 20
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Article Overview
This article explains Medicare paper-claim filing procedures for Part B and describes the forms used by providers and beneficiaries. It covers when beneficiary-filed claims may be accepted, the kinds of situations where they are used, and how contractors handle and monitor these submissions. The content is relevant to billing staff, Medicare contractors, providers, suppliers, and beneficiary assistance personnel who work with paper claim workflows.
Why This Topic Matters
Paper claim processes still matter for certain Medicare submissions and exceptions. Understanding the form requirements and beneficiary-filed claim situations helps organizations route claims correctly and avoid processing problems.
Article Sections
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Paper Claims
Overview of Medicare paper claim forms used for Part B services and beneficiary-submitted claims. The section also addresses contractor handling and monitoring of certain submissions.
What You Will Learn
- Which Medicare paper claim forms are discussed for Part B billing
- How beneficiary-submitted claims are handled at a general level
- What broad circumstances may lead to use of beneficiary-filed claim forms
- Which operational considerations apply to contractor processing and monitoring
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Medicare contractors
- Provider office staff
- Supplier billing personnel
- Beneficiary assistance staff
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