Medicare Claims Processing Manual (Pub. 100-04), Ch. 25 § 70.2

Disposition of Copies of Completed Forms

Last amended: 2014Year: 2014Length: 106 wordsOfficial source
70.2 - Disposition of Copies of Completed Forms (Rev. 2922, Issued: 04-03-14, Effective: 04-18-14, Implementation: 04-18-14) The provider retains the copy designated “Institution Copy” and submits the remaining copies of the completed Form CMS-1450 to its A/B MAC (A) or (HHH), managed care plan, or other insurer. Where it knows that a managed care plan will pay the bill, it sends the bill and any necessary supporting documentation directly to the managed care plan for coverage determination, payment, and/or denial action. It sends to the A/B MAC (A) or (HHH) bills that it knows will be paid and processed by the A/B MAC (A) or (HHH).
Medicare Claims Processing Manual (Pub. 100-04), Ch. 25 § 70.2: Disposition of Copies of Completed Forms | Justis AI