Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.10
Courtesy Copy of All MSP GHP-Based Recovery Correspondence to the
20.10 – Courtesy Copy of All MSP GHP-Based Recovery Correspondence to the
Insurer/Third Party Administrator (TPA)
(Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24)
MSP Contractors currently initiate GHP-based recoveries of mistaken payments to the employer/ other plan
sponsor (considered the debtor if it received the original demand), with the exception of federal employers.
In order to facilitate employer/ other plan sponsor’s efforts in responding to demand packages, MSP
Contractors shall send a copy of these demand packages and all other recovery correspondence to the
employer/ other plan sponsor’s insurer/TPA.
The courtesy copy sent to the employer/ other plan sponsor’s insurer/TPA does not change the employer/
other plan sponsor’s status as the debtor. The insurer/TPA is not considered a debtor because the
insurer/TPA was not the addressee on the original demand letter. For Federal employer/ other plan sponsors,
the insurer is considered the debtor and the demand letter is addressed to the insurer. MSP Contractors shall
comply with the sending of the courtesy copy of the demand package(s) to the employer/ other plan
sponsor’s insurer/TPA. The demand letter will be addressed to the employer/ other plan sponsor, and the
employer/ other plan sponsor is considered to be the debtor.
MSP Contractors shall follow debt referral procedures in § 70 of this chapter. The fact that the insurer/TPA
receives a copy of the demand package or that the insurer/TPA may be given authority to resolve a debt on
behalf of its client (the employer/ other plan sponsor) does not change the status of the employer/ other plan
sponsor as the debtor and as the entity to be referred to Treasury.