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As the primary supplier, I understand that I am responsible for submitting claims on behalf of the Medicare beneficiary. Does this mean I cannot use a billing agent?

No. Contract suppliers may employ billing agents to the extent permitted by standard Medicare rules. If a contract supplier subcontracts with another supplier for purchase of inventory (supplier standard #4), delivery and instruction on the use of a Medicare-covered item (supplier standard #12), or repair of rented equipment (supplier standard #14), the contract supplier or its billing agent must submit the claim to Medicare using the contract supplier's billing number. The subcontractor should not submit claims.