What if a provider does not accept assignment of a Medicare claim?
(01/27/05) Physicians who do not accept assignment may charge more than Medicare’s approved amount but not more than the limiting charge. They also may collect full payment directly from the patient at the time of service. Medicare then pays you 80% of the approved amount, less any unmet portion of the Part B deductible. In Minnesota, the Minnesota Care Law requires doctors to bill at Medicare’s allowed charge. This law applies only for Minnesota residents who receive services from a doctor in Minnesota.
Related Questions
- If my claim rejects due to overlapping another providers claim, will Highmark Medicare Services contact the other facility for me to correct the situation?
- What is required for a provider to properly submit a claim to Medicare (or the DMERC) for reimbursement on oxygen equipment?
- Is a Medicare provider that accepts assignment required to accept a Today’s Options member for care?
