- Introduction
- About Medicare
- CMS Medicare Administrative Contractor Information
- Centers for Medicare & Medicaid Services
- Social Security Administration
- Medicare Secondary Payer
- How to File an Appeal with Original Medicare
- Medicare Quality Improvement Organization
- DME National Supplier Clearinghouse
- Railroad Retirees Part B Questions
- State Health Insurance Assistance Program
- Contacting Medicare
Medicare Secondary Payer
CMS transitioned COB activities for GHP and non-GHPs from the COBC and Non-GHP recovery functions from the BCRC to the new Medicare Secondary Payer Contractor. There will be no change to any of the COB processes under the MSP Contractor. Providers will now contact the MSP Contractor when applicable. It is no longer necessary to contact the BCRC.
MSP Contractor Responsibilities
- Consolidate activities that support the collection, management, and reporting of other insurance coverage for Medicare beneficiaries
- Take actions to identify health benefits available to a Medicare beneficiary and coordinates the payment process to prevent mistaken payment of Medicare benefits
Note: The MSP Contractor does not process claims or handle claim specific inquiries. Contact the Medicare Administrative Contractor for your area.
Reasons to Contact the MSP Contractor
- Ask a general MSP questions…who pays first; who pays second
- Ask a question regarding MSP letters and questionnaires (i.e., initial enrollment questionnaires and secondary claim development questionnaires)
- Report employment changes or any other insurance coverage information
- Report a liability, automobile/no-fault, or workers’ compensation case
- To obtain conditional payment amounts
- To obtain Medicare’s final recovery claim amount
- To ask questions regarding MSP recovery demand letters
- To ask questions with respect to a “Notice of Intent to Refer Debt to the Department of Treasury” letter
- To ask questions regarding repaying Medicare
- To request a waiver of recovery with respect to a beneficiary MSP debt. (Note: A waiver of recovery request cannot be accepted or processed until a recovery demand letter is issued.)
- To request a first level appeal with respect to the determination contained in a beneficiary MSP recovery and demand letter or a determination made on a waiver of recovery request from a beneficiary
General Contact Information for the MSP Contractor
Congressional Point of Contacts
Benefits Coordination
Hisan Deen
Phone: 646-458-6640
Fax: 405-869-3307 (On your fax coversheet, please identify your correspondence as “Congressional”)
Recovery
Martha Jones
Phone: 601-977-5724
Fax: 405-869-3309 (On your fax coversheet, please identify your correspondence as “Congressional”)