If your MSN shows a charge for a service that you did not receive. Is this fraud?
If your Medicare Summary Notice shows a charge for a service that you did not receive. Is this fraud?
You must check your Medicare Summary Notices cautiously to confirm that you received the services that Medicare paid for. If you do not recognize a particular service that does not automatically mean that fraud has been committed. For instance, it is probable that you received the service, but the provider name or service description is unfamiliar.
If you recognize an erroneous charge on your Medicare Summary Notice, you must call the number listed in the Customer Service Box in order to speak with the Medicare-contracted insurance company that processed the claim. A representative will be able to access your records by the use of the computer, and may be able to find out instantly whether the service charge stands for a billing error, a misunderstanding on your part, or a possible instance of fraud.
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