Medicaid is health coverage for people on welfare. Medicare part A covers hospital charges. Medicare part B covers services and other charges. If a facility is classified as a part A facility by Medicare, a hospital claim form must be submitted to the Medicare part A carrier, which will likely be a carrier. Part B charges need to be submitted on a HCFA 1500 claim form to the Medicare part B carrier.
File claims with the patient's carrier.
Accept the allowed amount as determined by the carrier, as payment in full. Write off the difference of the non-approved amount and the approved amount. Accept assignment on all claims. Workers Compensation, Personal Injury, Anesthesia and generally claims which require added documentation to be submitted with the claim. Chiropractors, Dentist, Psychologist, Psychiatrists, Social Workers, and Optometrists.