Claims Jurisdiction and Billing Procedures for Traveling Beneficiaries

50.4 - Claims Jurisdiction and Billing Procedures for Traveling Beneficiaries (Rev. 1544, Issued: 06-26-08, Effective: 07-01-08, Implementation: 07-07-08) Claims for non-mail order competitively bid items furnished to beneficiaries who maintain a permanent residence in a CBA, but who are traveling outside of their CB when they obtain the item, must be submitted with a “KT” modifier to indicate a traveling beneficiary. Claims for competitively bid items furnished to beneficiaries who obtain the item outside of their CBA that do not have a “KT” modifier shall be denied. Jurisdiction for these claims remains with DME MAC with jurisdiction for the beneficiary based on the beneficiary’s permanent residence. Claims for mail order competitively bid items that have a “KT” modifier shall be denied.