General Category > General Questions
Misspelled name on Medicare card
Michele:
I would ask the patient to get it fixed ASAP, but in the meantime I would file the claim with the correct spelling of the name. Our Medicare doesn't require first names to be spelled exact to process (some do) so the claims would still be processed and you could forward on to the 2ndary. If they deny, then you have already instructed the patient to fix the problem so hopefully it won't be much of a wait before you can resubmit, with the name still spelled correctly.
Michele
Pay_My_Claims:
I have gotten this error before and it holds up claims. It is far better to file it to match what Medicare has than to correct and do otherwise. I would as Michelle stated have the client correct it, but it can and does create a denial on the claim.
https://www.noridianmedicare.com/provider/updates/docs/Correcting_Denials_due_Incorrect_Bene_Infoc_acro2.pdf
Traice Robinson,CPMB:
Coming for experience on this topic you could bill Medicare all you want with the correct information on the claim, if the patient does not call in to Medicare to up dated there information they will reject it
Pay_My_Claims:
--- Quote from: Traice Robinson,CPMB on April 08, 2009, 05:07:59 PM ---Coming for experience on this topic you could bill Medicare all you want with the correct information on the claim, if the patient does not call in to Medicare to up dated there information they will reject it
Been there done that Tracie. It's even worse for NC Medicaid!! If it's not 100% identical to the card......denied!!! If the birthdate doesn't match....denied!!!
--- End quote ---
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