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Last Modified: 10/20/2022 Location: FL, PR, USVI Business: Part A

Medicare secondary payer and VA FAQ

Q: If Medicare was originally the primary insurance and has now changed to secondary with Veterans Affairs (VA) as the primary insurance, how should we submit the Part A claims?
A: Cancel the original claim and submit the claim to the VA. Once the canceled claim has processed, the Fiscal Intermediary Standard System (FISS) will automatically recoup the money you were paid.
Where the VA authorized services, Medicare does not make payment for items or services furnished by a non-Federal provider pursuant to such an authorization. Although certain MSP billing procedures apply, VA is not an MSP provision.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.