When is Medicare Primary or Secondary

What is a GHP? What is a NGHP? If a Medicare Beneficiary has a GHP due to they or their spouse is still working and also has Medicare, what is the correct payment order? If a Medicare Beneficiary has employer retirement GHP coverage and isn't working and also has Medicare, what is the correct payment order? If a Medicare beneficiary has workers compensation coverage due to a job-related illness or injury, who is the primary payer? If a Medicare beneficiary was involved in an accident and there is no-fault or liability insurance, who is the primary payer? If a Medicare beneficiary was involved in an accident and there is no-fault or liability insurance; however, the patient refuses to provide the information, who is the primary payer? If an active duty status military member is entitled to both Medicare and TRICARE, who is the primary payer? When an inactive status military member has TRICARE and Medicare and is treated by a civilian provider, which payer is primary? When an inactive status military member has TRICARE and Medicare and is treated at a military hospital or by other federal providers, which payer is primary? How to bill Medicare when there is GHP and NGHP involvement? What is the paid promptly period? When would the Medicare program make a conditional payment for services provided to a Medicare beneficiary when Medicare is not primary?

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