Medicare as Secondary Payer: The patient is 67, working full-time, and covered by Medicare, an employer-sponsored large group plan, and a Medigap plan. The spouse is retired, 62, and covered by an employer-sponsored plan for 18 employees. Billing order:

Example of how to answer the question: Patient is retired and covered by Medicare, an employer-sponsored retirement plan, and his spouse’s employer-sponsored large group plan.

Billing Order: Employer-sponsored large group plan, Medicare, employer-sponsored retirement plan.