Im receiving denials that state, “Expenses incurred prior to coverage”. How can I determine when the patient was eligible for Medicare?
The best source of information for Medicare coverage is the patient’s Medicare card. The Centers for Medicare and Medicaid Services (CMS) requires providers to use the IVR for beneficiary eligibility information. The IVR is available 24 hrs. a day seven days a week and can be accessed via your telephone simply by calling the toll free provider customer service telephone number (1-888-488-0548) and selecting the option that you would like to use. (Question based on June 2007 top phone inquiries).
Related Questions
- How can a plan sponsor determine if an individual is eligible for coverage under Medicare during a time period for which the plan sponsor is seeking ERRP reimbursement for that individual?
- Im receiving denials that state, "Expenses incurred prior to coverage". How can I determine when the patient was eligible for Medicare?
- How do I determine if a patient is enrolled in a Medicare Advantage (MA) plan?