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cms >- 1490s Form: What You Should Know

You'll receive payment for any amount not paid up on time.   Medicare Form 1490 S — Patient Request for Medical Payment If you're eligible, you can file your claim online on CMS, and pay via check, Credit or debit card, or by mail. You may also have to pay a fee if you use a credit or debit card. What's my medical payment status? If you are paid at this time, you have not filed a claim yet. To request payment, fill in and submit this form. You can ask the company to change your payment status later. What if you're not eligible for payment? If you did not receive payment for a medical condition, you will need to file a claim by mail or fax.  What if you want compensation for medical expenses that you did not pay for? Medicare payments are often tied to expenses you paid for. If you're a beneficiary, you may request that the company pay you for medical expenses that you didn't pay. Ask for a letter from the company stating if they've received payment for expenses, and ask that the company repay those you didn't pay for. Your letter will be confidential. Why do I need to file a claim? The Patient Request for Medical Payment form requires information that's important to the claim. You must also document the costs and benefits of your medical treatment in your claim. Who's not eligible? A claim is not valid for the following: Anyone who is in jail or on parole. Anyone who has not been insured since 2001, whether the claim is still active. Anyone who is a fugitive from justice, an offense that carries a penalty, or who committed a crime on federal property while he was incarcerated in jail. Who can I request payments from? Anyone can request payments from Medicare from anyone in any Medicare benefit, health plan, or group. For more information, see Medicare Claims for Payment and Form CMS-1490S and Related Information Do I have to be registered for Medicare? You must be registered by the start of each month or by the close of each calendar month if you have not been insured in the previous month. You can register online. Can I pay with my own check? Yes. You can request payments with a check, Credit or debit card, or by mail.

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