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9. Provider for This Claim: Be aware that the name listed on your MSN might differ from your doctor’s name. For instance, the name that appears here could be that of the medical practice or its owner. If you have questions, contact the doctor who is filing the claim. If the doctor’s office cannot resolve your concerns, contact Medicare at 800-MEDICARE (800-633-4227).

10. Date of Service: This is the date or dates you received medical care. To make sure the dates are correct, you can check your calendar or the statement you were given by the doctor’s office at your visit. If you did not receive medical services on a date listed here, contact the doctor who is filing the claim. It could be a mistake that the doctor’s office can easily correct. If the office cannot resolve your concerns, contact Medicare at 800-MEDICARE (800-633-4227).

11. Doctor Name, Address and Phone: Be aware that the name listed on your MSN might differ from your doctor’s name. For instance, the name that appears here could be that of the medical practice or its owner. The listed address might be for the doctor’s billing office rather than the medical office. If you have questions, contact the doctor who is filing the claim at the listed phone number. If the doctor’s office cannot resolve your concerns, contact Medicare at 800-MEDICARE (800-633-4227).
 
12. Service Provided: This is a brief description of the provided service(s). If you did not receive a service listed here, contact the doctor who is making the claim. It could be a mistake that the doctor’s office can easily correct. If the office cannot resolve your concerns, contact Medicare at 800-MEDICARE (800-633-4227).

13. Billing Code: Medical procedures and services are assigned billing codes. You have the right to receive an itemized billing statement that lists each medical service you received. If you need an itemized statement, contact your doctor. Compare the billing code on your MSN with the code that appears on the billing statement you received from your doctor or health care provider. If the codes are different, or if you didn’t receive the medical service indicated, contact the doctor who is making the claim. It may be a simple mistake that the doctor’s office can easily correct. If the office does not resolve your concerns, call Medicare at 800-MEDICARE (800-633-4227).

14. Service Approved?: “YES” means that Medicare covers this type of health care service. If you see “NO” in this space, contact your provider and ask for an itemized statement. Go to the section How to Handle a Denied Claim (below). For more about noncovered services, see the article "What Medicare Doesn't Cover."

15. Amount Provider Charged: This is the amount the doctor or health care provider billed Medicare.

16. Medicare-Approved Amount: This is the amount Medicare approved as an acceptable charge for this service. (For more about noncovered charges, see the article "What Medicare Doesn't Cover." To challenge an unpaid charge, see the article “Appealing a Medicare Claim Decision.”)

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