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<br />P'ovld.rs 'must on odmi'~on uk M.dicara potiants or rapr"~nbtl~ I <br />"'vic.. "a (or t,utman t o( an Injury or IIIna.. 'rom an accldant 'or "h~ <br />nO-foultin,u"nc. cO"i.r m..y pay 'or tha ..r"ic... Obt.ln th.a n..... add <br />ond pOlicy numb" of ony no-foult 0' liability lnsuranca company which ....; <br />responsible for POlymen t of the medic~l eXP_n"s. <br /> <br />Other issues cOvered. in this transmithl: <br /> <br />Section 262.8 B Effect on Deductible ~ nd Coinsurance Uti1iz3t:jon <br /> <br />. Wo, ke rs' Comp en s.; tion. no-{a u 1 t Cin,cl uding atito) and Ii.bility 'Ins ~ '.nca paY1nan <br />are credited to the Part A ond Part B deductibl.. ond coinsurance amount <br />These payments will be used to ..tisfy deductibl.. and cOin.ur.nce f, <br />.discharge. 0' s.,vice. 'ende'ed on 0' after Novombor 13. 19.89. <br /> <br />'\ <br /> <br />Section 262.9 Definitions <br /> <br />Thi. section includes definition. of "nO-fault lnsuranco- and "Pl"Opar cl.lm. <br />expands the definition of -..If-insured plan" and "unin.urod motorist In....r.n.... <br />-P,ompt" or "promptly" is defined in this .oction .s payment ",fthln 120 day <br />after rec.'!ipt of the cJ.im. <br /> <br />Section 262.10 8illing Where Services Are ReI.tad to Accident <br /> <br />This ..ction .hould be road through vorl' carefully as it explain. the pro"id.r", I <br />billing respoi'Hibi/ities of o1ccident-relo1ted claims. <br /> <br />Section 262.1 TC Secondary Medicare Payments <br /> <br />Thi, section contain. a r."i.ed fo,mul. for calcul.ting payment in nO-fault cues. <br />I( a provider i, not oblig.ted to accept the in.urance payment .s payment In <br />full, Medicare secondary p"yments may be m;ade. <br /> <br />Section 262.11 D Conditional Primary Medicare Benefits <br /> <br />Thi. .ection uplains the' conditional payment requirements U pre"lously <br />discussed in this bulletin. <br /> <br />. Section 252-. 11 D No- Fa ult In. 1.1 re r Den ie. That it Is Prima ry Pay,," <br /> <br />Thl. new sub.action st.tes that' you .hould r.'." the ...s. to the Intermediary If <br />the no.hult anzurer deniad it is primary pay.,.. <br /> <br />Saction i62.13 Stata l.w or Contract P....,yld.s That No-F.ult Insurance Is <br />Secondary to Other ln~ul".nce . _ . <br /> <br />This new saction sbtu that Medicare only INJc.s secondary p~ym.nu even if I <br />st~t" jaw Of" insu ranc~ con tracts specify that benariu under their preylsicns aN <br />:s~condary to those of Medicare. Medicare only maxe: .ac:~mdary payments altat,. <br />the tot~" no-fault benefits have been e;ch~l,utad. <br />- <br />