What documents do I need to include when submitting a Medicare claim?

When submitting a Medicare claim, there are several essential documents that a member should include to ensure a smooth processing of their claim. Typically, the primary document required is the Medicare claim form itself, often known as the CMS-1500 for outpatient claims or the CMS-1450 for inpatient claims. These forms can be filled out manually or completed electronically, depending on the submission method. In addition to the claim form, members should also attach any relevant supporting documents that provide detailed information about the services received. This may include itemized bills or invoices from healthcare providers, which should clearly describe the services rendered, along with their corresponding charges. It is crucial that these documents contain the date of service, the provider's information, and the specific procedure codes used. Another important aspect is the provision of any supporting medical records if requested. These records can help substantiate the medical necessity of the services provided and support the claim. It is also advisable for members to keep copies of all submitted documents for their records. Finally, if a member is uncertain about what specific documents are needed for their situation, they may want to consult the claims section on the Humana Medicare website. This website often provides guidelines and resources to assist members with the claim submission process.