---
title: PMI Blog | claims
description: claims | Information and resources from Practice Management Institute - PMI
image: https://info.pmimd.com/hubfs/Untitled%20design%20(7).png
---

[![pmi-logo-white-on-blue](https://info.pmimd.com/hs-fs/hubfs/pmi-logo-white-on-blue.png?width=174&name=pmi-logo-white-on-blue.png "pmi-logo-white-on-blue")](https://www.pmimd.com/)

- [About PMI](https://www.pmimd.com/about/)
- [Online Training Center](https://www.pmimd.com/onlinetraining/)
- [Instructors](https://www.pmimd.com/instructors.php)
- [Contact Us](https://www.pmimd.com/contact.asp)

## [Navigating Carrier Guidelines for Optimal Practice Reimbursement](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement)

 Posted by [Nancy Clements](https://info.pmimd.com/blog/author/nancy-clements) on Jul 6, 2023, 4:25:20 PM

- [Tweet](https://twitter.com/share)

[![](https://info.pmimd.com/hubfs/social-suggested-images/fs.hubspotusercontent00.nethubfs2430152Canva%20imagesCanva%20Design%20DAEqjZANqZA.png)](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement)

When a Medicare patient has multiple sources of insurance coverage, Medicare will only pay for services after the primary payer has processed the claim and made their payment.  Medical office staff must always verify the patient's insurance coverage thoroughly - gathering all necessary information from the primary insurance, such as policy numbers, claim submission instructions, and any preauthorization requirements, etc.

[Read More](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement)

 0 Comments [Click here to read/write comments](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement#comments-listing)

 Topics: [Practice cash flow](https://info.pmimd.com/blog/tag/practice-cash-flow), [payer contract](https://info.pmimd.com/blog/tag/payer-contract), [carrier contract](https://info.pmimd.com/blog/tag/carrier-contract), [carrier contract guidelines](https://info.pmimd.com/blog/tag/carrier-contract-guidelines), [medicare compliance](https://info.pmimd.com/blog/tag/medicare-compliance), [patient billing](https://info.pmimd.com/blog/tag/patient-billing), [claims](https://info.pmimd.com/blog/tag/claims), [insurance](https://info.pmimd.com/blog/tag/insurance)

[All posts](https://info.pmimd.com/blog/all)

### Subscribe Here!

### Recent Posts

### Posts by Tag

- [Practice management (50)](https://info.pmimd.com/blog/tag/practice-management)
- [medical office manager topics (43)](https://info.pmimd.com/blog/tag/medical-office-manager-topics)
- [CMOM (35)](https://info.pmimd.com/blog/tag/cmom)
- [medical practice issues (33)](https://info.pmimd.com/blog/tag/medical-practice-issues)
- [medical coding (28)](https://info.pmimd.com/blog/tag/medical-coding)
- [Certified Medical Office Manager (25)](https://info.pmimd.com/blog/tag/certified-medical-office-manager)
- [cmom certification (25)](https://info.pmimd.com/blog/tag/cmom-certification)
- [PMI Certification (24)](https://info.pmimd.com/blog/tag/pmi-certification)
- [Insider (21)](https://info.pmimd.com/blog/tag/insider)
- [medical office staff (20)](https://info.pmimd.com/blog/tag/medical-office-staff)
- [medical office compliance (18)](https://info.pmimd.com/blog/tag/medical-office-compliance)
- [medical billing (17)](https://info.pmimd.com/blog/tag/medical-billing)
- [medical office certification (17)](https://info.pmimd.com/blog/tag/medical-office-certification)
- [medical office training (16)](https://info.pmimd.com/blog/tag/medical-office-training)
- [financial management (14)](https://info.pmimd.com/blog/tag/financial-management)
- [medical office (13)](https://info.pmimd.com/blog/tag/medical-office)
- [physician relations (12)](https://info.pmimd.com/blog/tag/physician-relations)
- [medical office leadership (11)](https://info.pmimd.com/blog/tag/medical-office-leadership)
- [patient billing (11)](https://info.pmimd.com/blog/tag/patient-billing)
- [staff recruiting (10)](https://info.pmimd.com/blog/tag/staff-recruiting)
- [Practice cash flow (8)](https://info.pmimd.com/blog/tag/practice-cash-flow)
- [partnerships (8)](https://info.pmimd.com/blog/tag/partnerships)
- [administrative burdens (7)](https://info.pmimd.com/blog/tag/administrative-burdens)
- [patient relations (6)](https://info.pmimd.com/blog/tag/patient-relations)
- [personnel management (6)](https://info.pmimd.com/blog/tag/personnel-management)
- [time management (6)](https://info.pmimd.com/blog/tag/time-management)
- [workplace violence (6)](https://info.pmimd.com/blog/tag/workplace-violence)
- [HIPAA compliance (5)](https://info.pmimd.com/blog/tag/hipaa-compliance)
- [carrier contract guidelines (5)](https://info.pmimd.com/blog/tag/carrier-contract-guidelines)
- [emergency preparedness (5)](https://info.pmimd.com/blog/tag/emergency-preparedness)
- [medicare compliance (5)](https://info.pmimd.com/blog/tag/medicare-compliance)
- [patient engagement (5)](https://info.pmimd.com/blog/tag/patient-engagement)
- [HIPAA (4)](https://info.pmimd.com/blog/tag/hipaa)
- [medical fraud (4)](https://info.pmimd.com/blog/tag/medical-fraud)
- [medical office administration (4)](https://info.pmimd.com/blog/tag/medical-office-administration)
- [payer contract (4)](https://info.pmimd.com/blog/tag/payer-contract)
- [Client Relations (3)](https://info.pmimd.com/blog/tag/client-relations)
- [Medical Front Office (3)](https://info.pmimd.com/blog/tag/medical-front-office)
- [Medical entry-level (3)](https://info.pmimd.com/blog/tag/medical-entry-level)
- [medical practice benchmarking (3)](https://info.pmimd.com/blog/tag/medical-practice-benchmarking)
- [osha (3)](https://info.pmimd.com/blog/tag/osha)
- [patient satisfaction (3)](https://info.pmimd.com/blog/tag/patient-satisfaction)
- [quality assurance (3)](https://info.pmimd.com/blog/tag/quality-assurance)
- [value proposition (3)](https://info.pmimd.com/blog/tag/value-proposition)
- [CMOM FAQs (2)](https://info.pmimd.com/blog/tag/cmom-faqs)
- [Care Management (2)](https://info.pmimd.com/blog/tag/care-management)
- [E/M coding (2)](https://info.pmimd.com/blog/tag/e-m-coding)
- [Medical Office Management (2)](https://info.pmimd.com/blog/tag/medical-office-management)
- [Medicare fraud (2)](https://info.pmimd.com/blog/tag/medicare-fraud)
- [Opioid Addiction (2)](https://info.pmimd.com/blog/tag/opioid-addiction)
- [Pain Management (2)](https://info.pmimd.com/blog/tag/pain-management)
- [Practice debt (2)](https://info.pmimd.com/blog/tag/practice-debt)
- [Practice safety (2)](https://info.pmimd.com/blog/tag/practice-safety)
- [carrier contract (2)](https://info.pmimd.com/blog/tag/carrier-contract)
- [change management (2)](https://info.pmimd.com/blog/tag/change-management)
- [diversity and inclusion (2)](https://info.pmimd.com/blog/tag/diversity-and-inclusion)
- [hazard communication (2)](https://info.pmimd.com/blog/tag/hazard-communication)
- [medical identity theft (2)](https://info.pmimd.com/blog/tag/medical-identity-theft)
- [medicare (2)](https://info.pmimd.com/blog/tag/medicare)
- [patient collections (2)](https://info.pmimd.com/blog/tag/patient-collections)
- [psr (2)](https://info.pmimd.com/blog/tag/psr)
- [CMOM training courses (1)](https://info.pmimd.com/blog/tag/cmom-training-courses)
- [COVID (1)](https://info.pmimd.com/blog/tag/covid)
- [Crisis Leadership (1)](https://info.pmimd.com/blog/tag/crisis-leadership)
- [Desk of the President Series (1)](https://info.pmimd.com/blog/tag/desk-of-the-president-series)
- [Heidi Kocher (1)](https://info.pmimd.com/blog/tag/heidi-kocher)
- [auditing (1)](https://info.pmimd.com/blog/tag/auditing)
- [budget planning (1)](https://info.pmimd.com/blog/tag/budget-planning)
- [claims (1)](https://info.pmimd.com/blog/tag/claims)
- [cmom assessment (1)](https://info.pmimd.com/blog/tag/cmom-assessment)
- [contract negotiation (1)](https://info.pmimd.com/blog/tag/contract-negotiation)
- [difficult personalities (1)](https://info.pmimd.com/blog/tag/difficult-personalities)
- [evaluation and management (1)](https://info.pmimd.com/blog/tag/evaluation-and-management)
- [insurance (1)](https://info.pmimd.com/blog/tag/insurance)
- [leadership (1)](https://info.pmimd.com/blog/tag/leadership)
- [medical insurance (1)](https://info.pmimd.com/blog/tag/medical-insurance)
- [sexual harassment (1)](https://info.pmimd.com/blog/tag/sexual-harassment)
- [value-based care (1)](https://info.pmimd.com/blog/tag/value-based-care)
- [workplace safety (1)](https://info.pmimd.com/blog/tag/workplace-safety)

See all

![pmi-logo-white-on-blue](https://info.pmimd.com/hs-fs/hubfs/pmi-logo-white-on-blue.png?width=174&name=pmi-logo-white-on-blue.png "pmi-logo-white-on-blue")

Explore our site

- [Home](https://www.pmimd.com/)
- [About PMI](https://www.pmimd.com/about/)
- [Online Training Center](https://www.pmimd.com/onlinetraining/)
- [Instructors](https://www.pmimd.com/instructors.php)

Our Office

10223 McAllister Fwy.  
Suite 104  
San Antonio, TX 78216

Contact Us

T: 210-691-8900

F: (210) 691-8972

[info@pmimd.com](mailto:info@pmimd.com)

© CPT is a registered trademark of the American Medical Association. All rights reserved. © 2024 Practice Management Institute® | All rights reserved.