[Provider] Revision to MaineCare Billing Instructions for Medicare C (Medicare Advantage Plans)

[Provider Notification]

ATTENTION:  All MaineCare Providers that bill Medicare C (Medicare
Advantage Plans) 

 

This notice is to inform providers of an update to Medicare C co-payment
billing instructions.  Please utilize the following value codes when
billing on the UB92 or UB04 claim form.

 

A1 = Deductible

A2 = Co-insurance and / or Co-pay

 

 

If you are billing for a MaineCare member who has Medicare C (Medicare
Advantage Plans) or Railroad Medicare please follow the revised billing
instructions outlined below.

 

UB92

UB04

CMS 1500

 

Field Locator 50A needs to contain the word Medicare.

Field Locator 50B needs to contain the word MaineCare.

Field Locator 50A needs to contain the word Medicare

Field Locator 50B needs to contain the word MaineCare.

Field Locator 9D needs to contain the word Medicare Replacement

Field Locator 84 (remarks) needs to say Medicare Replacement or Medicare
Railroad depending on which plan pertains to your billing.

Field Locator 80 (remarks) needs to say  Medicare Replacement or
Medicare Railroad depending on which plan pertains to your billing.

 

 

If you have questions regarding this message please contact
1-800-321-5557 Option # 8.

 

 

This is a one-way communication.  Please do not respond to this message.

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