How Medicare works with other insurance

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A conditional payment is a payment Medicare makes for services another payer may be responsible for. Medicare makes this conditional payment so you won’t have to use your own money to pay the bill. The payment is “conditional” because it must be repaid to Medicare if you get a settlement, judgment, award, or other payment later. You’re responsible for making sure Medicare gets repaid from the settlement, judgment, award, or other payment.
Source: medicare.gov

MSP (Medicare secondary payer)

Change request (CR) 9818 clarifies how Medicare contractors will process inpatient claims for services provided a Medicare beneficiary partially covered by the Veterans Administration (VA) in a non-VA facility. In addition, the article addresses other problems related to the same subject. This article was revised May 25 due to an updated change request (CR) that clarified language, which is stated in this article (in bold) on page 2. The transmittal number, CR release date and link to the CR also changed. All other information remains the same.
Source: fcso.com

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