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You are here: Experts > Health/Fitness > Health Care: UK > Medicare, Medicaid, Insurance, HMO problems > Submitting Bills to Medicare
Expert: Merry Schiff - 10/13/2009
Question
My son is a Medicare patient of a psychologist who has not agreed to become a Medicare provider.
He has paid her the full fee. He would like to submit the bill directly to Medicare for partial payment.
What information does the provider need to provide to medicare.
How a physician submit patients' bills to Medicare? Where do I find this information on the site?
Thanks You,
David
Answer
If the psychologist has opted out of Medicare, she must inform the patient that for two years, neither she nor the patient can bill Medicare. I would call Medicare to see if she actually signed a contract that she opted out of the program. Then, get back to me. If the provider just does not accept assignment for Medicare, the provider still must bill Medicare, NOT YOU. Let me know the situation. The question to ask Medicare:
1. Has the psychologist opted out of Medicare (she must have a signed affidavit with Medicare)
2. Or is the psychologist not accepting assignment (she still must bill and the patient is only responsible for a certain amount of the fee. Medicare puts a limiting chargeon the service.
Merry
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