Provider Access

For Medicare Supplement Eligibility, Benefits and Claims Information

Important Medicare Supplement Claim Filing Information

To expedite Medicare Supplement claim handling, billing guidelines established by CMS and communicated in MLN Matters® SE0909 dated April 28, 2009 must be strictly followed.

  • Mutual of Omaha will not process Medicare payment estimates where Medicare has not made a final determination on the claim.
  • Only the “official” Medicare remittance advice or HIPAA 835 ERA should be used for supplemental billing purposes when filing a claim – Medicare’s predetermination of benefits will not be accepted.

References