Are providers required to receive a dental services claim denial from Medicare before they submit the claim to supplemental coverage or a secondary payer, i.e., group health insurer?
Effective February 8, 2004, under section 950 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (the Act), a group health plan providing supplemental or secondary coverage to Medicare beneficiaries cannot require providers to obtain a claim denial from Medicare, for outpatient dental services that are not covered by Medicare, before paying the claim.
Related Questions
- Are providers required to receive a dental services claim denial from Medicare before they submit the claim to supplemental coverage or a secondary payer, i.e., group health insurer?
- We submit with another Medicare payer (ie, United Government Services, GHI Medicare) does this migration affect us?
- Who is eligible for dental services under the Medicare chronic disease dental scheme?
