Get Face To Face Medicare

Filling out the Face To Face Medicare form is essential for ensuring accurate processing of Medicare claims. This guide provides clear, step-by-step instructions on how to complete the form online, making the process efficient and user-friendly.

Follow the steps to fill out the Medicare form online effectively.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. Input the supplier information: Enter the supplier name, contact name, and phone number in the respective fields.
3. Provide the Unique Provider Transaction Access Number (PTAN) for the supplier.
4. Enter the beneficiary information: Fill in the beneficiary's name and their Medicare number.
5. State the reason for the adjustment needed and provide any necessary changes, such as Add/Change Modifier, Correct Place of Service, or Correct Diagnosis Code.
6. Indicate the date of service for the claim.
7. Correct any discrepancies by inputting the correct number of services and any correct date(s) of service.
8. If applicable, enter the Medicare Secondary Payer (MSP) information.
9. Fill out the Healthcare Common Procedure Coding System (HCPCS) code as needed.
10. Add any additional comments in the comments section if necessary.
11. After reviewing all information for accuracy, you can save your changes, download the form, print it, or share it as required.

Complete your Medicare forms online today for a smooth submission process!