Uhmmmm it will be going to Medicare if Medicare requests a copy! Huh It never amazes me how some providers don't quite connect everything. I hope I don't seem like I'm putting them down. I had one once very similar to this. VERY NICE MAN, but I just couldn't explain things to him. He made all patients sign an ABN, whether they had Medicare or not, whether they got uncovered services or not, even if they came in to use his bathroom! He asked me the same question over and over no matter how many times I explained things to him. "How many Medicare claims can you send in together?" My answer "There is no number, you submit however many claims you need to submit." (He had back billing.) After the hundred millionth time - my answer "23, not 24, not 25, only 23 claims are allowed at a time."