Medicare Questionnaire Form
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Web medicare secondary payer questionnaire (short form) the information contained in this form is used by medicare to determine if there is other insurance that should pay claims. Filing a claim when you get services and/or supplies (if your provider doesn’t file it). You can answer these questions in your mychart account on the website (mychart.mdanderson.org) or. Web the following.
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Web it is important to complete this form so your services are billed correctly. Department of health and human services. Send the form to the company. It asks for information your doctor may want to.
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