WAG 20-19-03-a: Client Medicare Enrolled

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