GHP Demand Process

20.2 – GHP Demand Process (Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24) Cases will only be created if valid employer/ other plan sponsor and insurer/ TPA information is available for the MSP Contractor. The MSP Contractor shall follow debt collection and referral procedures as defined in § 70 of this Chapter and Pub. 100-06, Medicare Financial Management Manual, Chapter 5. All activities associated to the collection, adjustment, write-off, referral or closure of this debt shall be documented within the HIGLAS. The employer within the demand letter is the prime debtor and shall be referred for cross- servicing, if appropriate. For federal employers, the demand letter will be addressed to the associated insurer/ TPA. MSP Contractors shall follow § 20.6 of this Chapter, specific to insurer/TPA employer defenses. HIGLAS will generate the demand letter specific to the debtor and type of case identified. Two copies of the demand letter will be printed; one for the employer and one for the insurer/TPA. The employer is the primary debtor, therefore any actions specific to non-response or delinquency shall be initiated against the employer.