An entity, usually an insurance company, that has a contract with HCFA to determine and make Medicare payments for Part A and certain Part B benefits to hospitals and other providers of services and to perform related functions.
A private company that has a contract with Medicare to process Medicare Part A claims (bills from hospitals and skilled nursing facilities). ( See also Intermediary.)
A private company that has a contract with Medicare to pay Part A and some Part B bills. (Also called "Intermediary.")
A commercial insurer contracted by the Department of Health and Human Services for the purpose of processing and administering Part A Medicare claims.
The agent (e.g., Blue Cross) that has contracted with providers of service to process claims for reimbursement under health care coverage. In addition to handling financial matters, it may perform other functions such as providing consultative services or serving as a center for communication with providers and making audits of providers' needs. This entity may also be referred to as TPA or third party administrator. A private organization, usually an insurance company, that serves as an agent for the Health Care Financing Administration (HCFA), which is part of HHS, that determines the amount of payment due to hospitals and other providers and paying them for the Medicare services they have provided. Intermediaries make initial coverage determinations and handle the early stages of beneficiary appeals.
A private insurance organization under contract with the federal government to administer the receipt and processing of Part A claims for the Medicare program. Back to the top of the page
A Medicare agent that processes Medicare claims.
a private organization that contracts with Medicare to review annual cost reports of various health care facilities and to process and pay Medicare claims
An agency, usually an insurance carrier, designated by the Social Security Administration to administer benefits of the Medicare program.
A private insurance company that has contracted with Medicare to process bills (claims) for Part A services.
A private company that has a contract with Medicare to pay Part A and some Part B bills. For TRICARE and CHAMPVA, the insurance company that handles the claims for care received within a particular state or country.
Also called "Intermediary." A private company that has a contract with Medicare to process Medicare Part A claims (bills from hospitals and skilled nursing facilities).
Fiscal Intermediaries (FI) are privately held companies contracted by the government to handle all TRICARE claims for any given region. The government directs FIs through federal regulations and guidelines. At times a Fiscal Intermediary may subcontract Claims Processors to adjudicate claims.
insurance company contracted by the Centers for Medicare and Medicaid Services to administer Medicare Part A.
Private health insurance company under contract with the Health Care Financing Administration (HCFA) to handle claims processing for Medicare Part A.