How to get a Medicare Statement of Benefit

To submit a medical claim with us, you need to get a Medicare Statement of Benefits.

Please note that we can’t accept a History of Medicare Statement of benefits or Digital Statement of Benefits. Only the Medicare Statement of Benefits has the information we need to process your claim.

The Medicare Statement of Benefits will show:

the patient’s name
the provider’s name or provider number
date of service
item number
the amount charged
the Medicare Benefits Schedule fee
the benefit that Medicare paid
an explanation confirming whether this was an inpatient or outpatient service
the payment recipient.

Please see below to find out how to obtain your Medicare Statement of Benefits.

If you have already claimed for the service with Medicare

If you have already claimed for the service with Medicare, or the provider has submitted the claim on your behalf, you will need to contact Medicare and request a Statement of Benefits.

Medicare will put in a manual request for the statement, which will take about 10 days to process. You will then be able to download the Medicare Statement of Benefits by logging into your Medicare account online via MyGov.

Click here for information about how to access your Medicare account via MyGov.

If you haven’t submitted a Medicare claim for the service

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