WAG 20-15-03-a: Client Medicare Enrolled

  1. (Provider) Sends HCFA-1500, Request for Payment, for covered services for client eligible for Medicare to their Medicare Intermediary.
  2. (Medicare Intermediary) Adjudicates bill.
  3. (Provider) Sends HFS copy of HCFA-1500 and Explanation of Medicare Benefits.
  4. (CO) Figures amount of coinsurance and/or deductible due.