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As a whole, your Medicare carrier:

  • Uses private carriers to process requests for insurance coverage and review appeals.
  • Uses different carriers for each state or territory.
  • Uses private carriers for durable equipment, claims, and business functions
  • Process claims for Original Medicare
  • Make Medicare payments
  • Account for Medicare payments
  • Recruit and enroll Original Medicare service providers
  • Review appeals and make reimbursements
  • Review medical records as needed for claims
  • Establish Local Coverage Determinations to include ore procedures as medicinal applications grow
  • Handle inquiries from service providers

Your claims, payments, appeals, etc. for Original Medicare must, then, be directed to your carrier.

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