Medicare claim definition

Medicare claim means a claim for Medicare-covered services for a member with Medicare coverage.

Medicare claim means a claim for Medicare covered services for an eligible person or a member with Medicare coverage.

Medicare claim means any Claim by the Centers for Medicare and Medicaid, and/or any agent or successor of the Centers for Medicare and Medicaid, charged with responsibility for monitoring, assessing, or receiving reports made under MMSEA or pursuing a Claim under MSP Provisions, relating to any payments in respect of any Abuse Claim, including any Claim for reimbursement of conditional payments, and any Claim relating to reporting obligations.

Examples of Medicare claim in a sentence

• I authorize the above agency to release my medical information to the Social Security Administration or its intermediaries/carriers for this or a related Medicare claim.

• Medicare eligibility data is only to be used for the business of Medicare, such as preparing an accurate Medicare claim or determining eligibility for specific services.

• Patient acknowledges that (s)he or his/her legal representative understands that Medicare payment will not be made for any items or services furnished by the physician/practitioner that would have otherwise been covered by Medicare if there were no private contract and a proper Medicare claim had been submitted.

• I authorize the above agency to release my health information to the Social Security Administration or its intermediaries/carriers for this or a related Medicare claim.

• In the case of a Medicare claim, the patient’s signature authorizes any entity to release to Medicare medical and nonmedical information, including employment status, and whether the person has employer group health insurance, liability, no-fault, worker’s compensation or other insurance which is responsible to pay for the services for which the Medicare claim is made.

• The Member must appeal the Medicare determination with Medicare if the Medicare claim is denied.

• Again, the Medicare claim must include the patient’s DC Medicaid identification number.

• A finding that a request for payment does not meet the requirements for a Medicare claim shall not be considered an initial determination.

• The Medicare claim must include both the patient’s Medicare and Medicaid identification number.

• I authorize any holder of medical or other information about me to release to the Social Security Administration or its intermediaries or carriers any information needed for this or a related Medicare claim.

More Definitions of Medicare claim

Medicare claim means a claim for Medicare-covered ser- vices for a member with Medicare coverage.

Medicare claim means any actual or potential claims by Medicare for reimbursement under the MSP.

Medicare claim means any and all Claims relating to Survivor Claims by the Centers for Medicare & Medicaid Services of the United States Department of Health and Human Services and/or any other agent or successor Entity charged with responsibility for monitoring, assessing, or receiving reports made under MMSEA and pursuing Claims under MSPA, including Claims for reimbursement of payments made to Survivor Claimants who recover or receive any distribution from the Trust and Claims relating to reporting obligations.

Medicare claim means, all claims for payment on account of services rendered pursuant to the Medicare Statute and Regulations.