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Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 1/5

Under Original Medicare's fee-for-service program, Medicare claims are submitted to CMS by:

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Answer & full 3-part explanation (select an option above, or peek)

Why A is correct

In the Original Medicare fee-for-service program, claims are submitted to the Centers for Medicare & Medicaid Services by health care providers and approved medical equipment suppliers, usually through the Medicare administrative contractor that processes claims. Beneficiaries generally do not file claims themselves; they present their Medicare card and the provider bills Medicare. The examination objectives describe this provider-submission process under AH-III.D.1h. Providers submit the bill so the program can pay them directly at the approved amount.

Why the other options are wrong

  • B) Beneficiaries are not expected to pay in full and then file; providers submit claims directly to the contractor.
  • C) An employer is not involved in Original Medicare claim submission.
  • D) State departments of insurance do not process Medicare fee-for-service claims.

Memory hook

Providers file the claims; beneficiaries just show the card.

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