Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 10.3

Providing Written Documents to the MSP Contractor

Last amended: 2022Year: 2022Length: 214 wordsOfficial source
10.3 - Providing Written Documents to the MSP Contractor (Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22) A/B MACs and DME MACs do not routinely submit paper documentation to the MSP Contractor. However, if requested by the MSP Contractor, A/B MACs and DME MACs shall submit written supporting documentation to the MSP Contractor within five (5) business days of their receipt of the request. The MSP Contractor shall contact the A/B MAC and the DME MAC via phone for documentation requests. There are limited situations where the A/B MACs and DME MACs should mail, or fax, paper documents to the MSP Contractor. A/B MACs and DME MACs shall forward to the MSP Contractor, within forty-five (45) calendar days of their mailroom date-stamped receipt, any development form originally sent from the MSP Contractor that the A/B MACs and DME MACs inadvertently received. In those situations, where the A/B MACs and DME MACs is permitted to mail paper or fax documents to the MSP Contractor, please refer to the following link to identify the appropriate contact: https://www.cms.gov/Medicare/Coordination-of-Benefits-and- Recovery/Coordination-of-Benefits-and-Recovery-Overview/Contacts/Contacts-page. Note: A/B MACs shall not fax or email “I” record update requests to the MSP Contractor. A/B MACs and DME MACs shall only create an MSP Inquiry if the “I” record was deleted and they have confirmed other coverage.
Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 10.3: Providing Written Documents to the MSP Contractor | Justis AI