Question

for a champva beneficiary who also has medicare coverage, the cms - 1500 claim is submitted to which payer first?
○ a. tricare
○ b. champus
○ c. champva
○ d. medicare

Explanation:

When a beneficiary has both CHAMPVA and Medicare, Medicare is the primary payer. This is based on the coordination - of - benefits rules. Medicare pays first for eligible services, and then CHAMPVA may cover any remaining costs (after Medicare's payment) as per its rules. TRICARE and CHAMPUS are not relevant in this context as the question is about the order between CHAMPVA and Medicare.

Answer:

d. Medicare