What does the Medicare assignment code C indicate?

The Medicare assignment code C indicates that the provider has chosen not to accept the Medicare-approved amount as full payment for the services provided, which means that the assignment is not accepted. This designation is crucial for beneficiaries to understand because it informs them that they may be responsible for a higher out-of-pocket cost. When providers do not accept assignment, they can charge beneficiaries more than the Medicare-approved amount, subject to certain limitations.

This understanding is important for both healthcare providers and patients, as it affects billing, payment responsibilities, and overall costs incurred by patients receiving services. Recognizing the implications of the assignment code ensures that beneficiaries can anticipate their financial obligations and make informed decisions regarding their healthcare options.