Description
Services after benefits terminated.

Resolution
Claim was submitted and according to CMS records, the beneficiary entitlement for Medicare coverage terminated prior to the first date for services provided on the claim. Investigate and check the patient's eligibility, if appropriate, then correct and resubmit the claim.

Resource
CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, chapter 27 (PDF, 430 KB), section 30.2 

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

Email JJ Part A

Contact a specific JJ Part A department


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