Service Agreement Provider Contract With Medicare In Salt Lake
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FAQ
The CMS-1500 form is the official standard Medicare and Medicaid health insurance claim form required by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health & Human Services.
Providers sending professional and supplier claims to Medicare on paper must use Form CMS-1500 in a valid version. This form is maintained by the National Uniform Claim Committee (NUCC), an industry organization in which CMS participates.
Electronic Claims can be submitted in a single batch. To batch submit claims, navigate to Insurance > Pending Claims. From this view, you will see all of the services that are pending submission. From this screen, all pending claims can be selected at once by clicking the check box at the top left.
The Medicare Administrative Contractors, (MACs), intermediaries, and carriers are responsible for processing claims submitted for primary or secondary payment and resolving situations where a provider receives a mistaken payment of Medicare benefits.
If you are enrolled in a health plan (Accountable Care Organization), please contact your health plan for provider information. Your Health Program Representative (HPR) can also help you find a provider. Contact an HPR at 1-866-608-9422.
1-888-222-2542 (Monday – Friday, 8a. m. – 5 p.m.)
1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
