Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 10.7

Additional Activities Arranged by Non-GHP MSP Type

Last amended: 2022Year: 2022Length: 167 wordsOfficial source
10.7 - Additional Activities Arranged by Non-GHP MSP Type (Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22) The A/B MACs and DME MACs retain the responsibility of handling phone and written correspondence/inquiries related to existing no-fault insurance (automobile no-fault insurance of all types, including personal injury protection/med-pay), workers' compensation (WC), and liability cases, unless the phone call or written correspondence reveals information discrepant with that on CWF. The MSP Contractor shall handle all calls and written correspondence where a beneficiary, third party payer, provider, or attorney is initially reporting the existence of a no-fault, WC, or liability case. The MSP Contractor shall develop all information necessary to establish an MSP occurrence. These auxiliary records shall appear on CWF. After the MSP Contractor has established a new case (i.e., added a "Y" auxiliary record), all follow- up calls are the responsibility of the MSP Contractor. A/B MACs and DME MACs are reminded that they may have overlapping MSP periods for liability, no-fault, workers' compensation, and/or group health plan insurance.
Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 10.7: Additional Activities Arranged by Non-GHP MSP Type | Justis AI