Question

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

Explanation:

When a beneficiary has both CHAMPVA and Medicare coverage, Medicare is the primary payer. CMS - 1500 claims for such beneficiaries are first submitted to Medicare. TRICARE and CHAMPUS are not relevant in this context as the question is about the order between CHAMPVA and Medicare. CHAMPVA acts as the secondary payer after Medicare has processed the claim.

Answer:

C. Medicare