If your doctor submits a claim too late and it is denied, are you still responsible?:QuickMedicareSupplement.com

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Are you still responsible for the 20% coinsurance amount if your doctor submits the claim (bill) too late and it is denied for late filing?

Are you still responsible for the 20% coinsurance amount if your doctor submits the claim (bill) too late and it is denied for late filing?

Providers have permission to put forward claims to Medicare on their patientís behalf. Even though providers have between 15-27 months to submit a claim for reimbursement based on the date of service, occasionally a claim is not submitted in time and is not considered for payment by Medicare. However, you are still responsible for the 20% coinsurance amount based on what Medicare would have allowed for the service if it had not been submitted late. Your Medicare Summary Notice will notify you of the amount you are in charge to pay your provider.

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