Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.20
Installment Payments and Multiple-Party Settlement Checks
40.20 – Installment Payments and Multiple-Party Settlement Checks
(Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24)
If the beneficiary wishes to refund in installments, the MSP Contractor follows the instructions found in the
Medicare Financial Management Manual, Chapter 3, § 110.8.
If a liability insurer sends the MSP Contractor a check intended to repay Medicare benefits paid on the
beneficiary’s behalf, but which is made out jointly to Medicare and to other parties (such as the beneficiary
or representing attorney), the MSP Contractor sends a note to the other payee(s) asking them to endorse the
check and return it to the MSP Contractor. It does not endorse the check before endorsement of the other
payee(s) is received.