How Do You Bill Medicare?


Quick Answer

To bill Medicare, the patient must complete a patient request for medical payment form, according to Medicare.gov. Billing Medicare and filing a claim are the same thing, wherein the patient requests payment from Medicare for covered items or services.

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Full Answer

The patient request for medical payment form is also known as the CMS-1490S, which comes in both English and Spanish. Once the patient has chosen the particular instruction file, the patient must download it and refer to his Medicare summary notice. An electronic Medicare summary notice is also available on the Medicare website when the patient logs into his account.

When filing Medicare claims, they must be filed within a year after the service was rendered, according to Medicare.gov. The claim must be filed within this time frame, or Medicare won’t make the payment. The Medicare summary notice explains what the time frame is for filing claims, and this notice is mailed to patients every three months.

If patients notice that claims aren’t filed timely, they can contact the doctor or supplier to remind them about filing the claim. This applies to patients with original Medicare, as doctors and suppliers are legally required to file the claims, as stated by Medicare.gov. If the health service provider does not file the claim, the patient must call 1-800-MEDICARE, as of April 2015. If the time limit is close to expiring and the health service provider hasn’t filed the claim, the patient must file the claim immediately.

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