Corporate

Medicare Secondary Payer Calculator Tool

The Medicare Secondary Payer tool can be used to determine the claim payment calculations when Medicare is the secondary payer for services. The calculations are done by detail line item. If the calculation does not provide a paid amount, it is because the provider has contracted with the primary insurance company and is obligated to accept their allowed amount for the service.

How many line items are on the claim?
Does the provider accept assignment?

  
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