What entities process medicare claims?

Medicare claims are primarily processed by Medicare Administrative Contractors (MACs), which are private companies that manage claims for the Centers for Medicare & Medicaid Services (CMS). Additionally, other entities involved in the claims processing include Durable Medical Equipment Medicare Administrative Contractors (DME MACs) for specific equipment claims and Medicare Advantage plans, which may handle claims for beneficiaries enrolled in private insurance plans offering Medicare benefits. These entities evaluate claims for accuracy and determine payment based on Medicare guidelines.