A patient has Medicare as 1º and BCBS as 2º. The provider, from a specialty not recognized by Medicare (acupuncture), believes she can submit a claim to Medicare and after it is denied submit a secondary claim to BCBS and get paid for her services.
The first sentence in the first chapter of Michelle’s e-book on Medicare enrollment states, “In order for a medical provider to provide services to a Medicare patient, they must be a Medicare provider.” Since the above provider is not a Medicare provider isn’t her idea of getting paid by the 2º insurance little more than a pipe dream, not to mention the possible legal entanglements?