Loop 2300 NTE/FL 80

| Remarks | Source |
|---|---|
| If Medicare isn’t the primary payer because workers' compensation, automobile medical, no-fault, liability insurer, or an employer GHP is primary, enter special notes. Enter any remarks needed to provide information not shown elsewhere on the bill but necessary for proper payment. | Patient or medical records |
For Renal Dialysis Facilities, enter the first month of the 30-month period during which Medicare benefits are secondary to benefits payable under an EGHP.
For DME billings, show the rental rate, cost, and anticipated months of usage.