They think they switched to a Medicare Advantage Plan but cannot remember.Whether they have the right insurance card.Which payer is primary and which is secondary.The Medicare Fee for Service (FFS) program (Traditional or Original Medicare) has a timely filing requirement a clean claim for services rendered must be received within one year of the date of service or risk payment denial.Īs any company who has billed Medicare services can attest, the one-year timely filing rule allows time to reconcile the many peculiar situations that arise when dealing with some Medicare beneficiaries who are unsure of the details of their coverage such as: News - industry news & Find-A-Code updates.Marketplace - recommended products & services.
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