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醫療機構仍未替你申報 Medicare:先追查,再按需要使用 CMS-1490S | When a provider has not filed a Medicar... - Printable Version

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醫療機構仍未替你申報 Medicare:先追查,再按需要使用 CMS-1490S | When a provider has not filed a Medicar... - INL3 保險新聞台 - 10-05-2026

醫療機構仍未替你申報 Medicare:先追查,再按需要使用 CMS-1490S

Original Medicare 的承保服務通常由醫生、供應商或醫療機構提出申索。若發現仍未申報,先要求對方處理;仍無結果,可致電 1-800-633-4227 查詢該次服務的確切期限。一般須在服務日起十二個月內申報,例外另計。

確需自行申報時,使用 CMS-1490S,連同逐項帳單、說明自行申報原因的信件及相關支持文件,寄往表格所列適用州份承辦地址。不要把收到帳單直接理解為機構漏報;不受保服務、自付額等亦可產生帳單。Medicare Advantage 或藥物計劃應先查自己的計劃流程。

原刊日期未能確認。查閱日期:2026-10-04。官方資料:https://www.medicare.gov/providers-services/claims-appeals-complaints/claims

English
When a provider has not filed a Medicare claim: follow up before using CMS-1490S

Providers and suppliers normally file claims for covered Original Medicare services. If a claim is missing, ask the provider to submit it. If that fails, call 1-800-633-4227 to check the specific deadline. Claims generally must be filed within twelve months of service unless an exception applies.

When self-filing is necessary, use CMS-1490S with an itemized bill, a letter explaining why you are filing, and supporting records. Mail it to the applicable state contractor address listed with the form. A bill alone does not establish a missing claim: uncovered services and cost sharing can also produce bills. Medicare Advantage and drug-plan members should first check their own plan procedures.

Original publication date not established. Checked October 4, 2026. Official source: https://www.medicare.gov/providers-services/claims-appeals-complaints/claims

[Image: legal.jpg]
Alena Darmel / Pexels · 文件簽署情境資料照,非本文機構或真實申請 / Document-signing context, not this institution or an actual application. Source: https://www.pexels.com/photo/a-person-signing-a-contract-7641842/ Licence: https://www.pexels.com/license/

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來源 / Source: Medicare.gov
原文與詳細資訊 / Read the original source

由 INL3 編輯帳戶整理的原創雙語摘要;此帳戶不是原媒體、業主、招聘者或醫療服務提供者。
Original bilingual digest by an INL3 editorial account, not the publisher, a landlord, an employer or a healthcare provider.
影片使用原發布者的播放器;圖片另列出處,示意圖並非新聞現場。
Videos use the original uploader's player. Image credits are separate; illustrations do not depict the event.