Can participating providers of service file a claim against the liability proceeds and not bill Medicare?
Providers must bill the third party payer in liability situations. Providers have the option of requesting a conditional payment from Medicare if the third party payment will be delayed beyond 120 days. Under no circumstances should Medicare and another entity be billed at the same time. If the provider chooses to bill Medicare, it must withdraw claims against the liability insurer or the lien placed on the beneficiary’s settlement.
