The claim would be filed as any other LTC claim would be, on an 837 I.  The
request for a demand billing is done after the service provider has issued
an Advance Benefit Notice (ABN) to the patient (responsible party)
indicating that Medicare will not cover the cost of the service and
basically is asking the patient (responsible party) to agree to accept
liability for the service.  The ABN is prepared by the provider without
submitting a claim to Medicare.  When the patient (responsible party)
request a demand billing it is just a request to submit the claim so that
if it is denied the denial can be appealed.  The process/name is no
different than just submitting a claim for LTC services to Medicare when
the provider is absolutely sure the services are covered.  So really,
"demand billing" is not affected by HIPAA.

Robert C. Pozniak
Third Party Liability Operations
NYS Department of Health
(518) 485-0037 phone  (518) 402-0061 fax
[EMAIL PROTECTED]



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