Medicare Secondary Payer: Don't Deny Services and Bill Correctly

Medicare returns information for primary Medicare payers through Medicare eligibility. If Medicare eligibility shows open Medicare secondary payer (MSP) records, don’t deny Medicare patients medical services, treatment, or entry to skilled nursing facilities or hospitals. Continue to see and treat Medicare patients, even if we previously mistakenly denied or rejected a claim you submitted as Medicare primary. You can appeal these claim denials or rejections with your Medicare Administrative Contractor (MAC). Medicare Part A providers can submit adjustments.