Which of the following apply only to nonparticipating providers submitting nonassigned claims?

The concept of limiting charges is particularly relevant to nonparticipating providers who submit nonassigned claims when it comes to Medicare. Nonparticipating providers do accept Medicare, but they do not agree to accept the Medicare-approved amount as their full fee. Instead, they can charge beneficiaries up to a certain limit, which is known as the limiting charge.

This limiting charge is designed as a safeguard for Medicare beneficiaries. It ensures that nonparticipating providers do not overcharge patients excessively. The limiting charge is typically set at 115% of the Medicare-approved amount for nonparticipating providers. Therefore, if a provider submits a nonassigned claim — meaning the beneficiary must pay the provider directly rather than having Medicare pay the provider directly — the provider must still adhere to the limitations established by this charge, ensuring that beneficiaries are not billed unfairly.

The other options presented are not exclusive to nonparticipating providers or do not relate specifically to the submission of nonassigned claims in the same direct manner as limiting charges. Claims information can apply broadly to any claims submitted by providers, while standard charges and beneficiary dashboards pertain to billing and information systems that are not limited to the context of nonassigned claims by nonparticipating providers.