When your facility has determined that a Medicare claim is not related to a liability, no fault (including medical payment), or Workers’ Compensation accident, injury or illness for which there is an MSP record in the CWF, enter comments on the first line of the Remarks field to indicate this.
For example, report in the Remarks field, "services are not related to the liability MSP record in the CWF." Use similar comments to indicate, as applicable, the services are not related to a no-fault, medical payment or Workers' Compensation MSP record in the CWF. Do not use comments in Remarks that include the term "unrelated" as our system does not recognize this term when you report it in the Remarks field for this purpose. Maintain your documentation that supports your use of these comments in Remarks such as your completed MSP questionnaire/form.