unassigned
No. This is false. - A Medicare participating provider can not decide to accept assignment on a claim-by-claim basis. The provider registers with Medicare as a provider that will accept assignment and must accept assignment on all patients.
100% of the usual and customery fee
It means you agree to have assignment of benefits (payments) made to the provider of service(s).
20
Physicians can charge what they want. Patients can choose to see them or not. If a physician submits a claim to insurance, it will be paid according to his or her contract with the insurance company, or according to the insurer's policies.
the claim gets denied
In most states an insurer has up to 60 days to accept or deny a claim. Save
They will accept almost any claim, paying it is another matter.
A physician is reimbursed 80% when accepting a Medicare claim.
All information relevant on a HCFA (HealthClaimForm 1500).Standard form, all providers use.
In most states in the U.S. An insurer has up to 60 days in which to investigate a loss and accept or deny a claim
That's not very likely. The insurance company does not file your claim, they accept your claim notice from you. You have to file your claim with the company, not the other way around.