Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.10

Responding to Correspondence as a Result of the Issuance of the ITR Letter

Last amended: 2024Year: 2024Length: 312 wordsOfficial source
70.10 – Responding to Correspondence as a Result of the Issuance of the ITR Letter (Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24) MSP Contractors that receive a response to an ITR letter that challenges the amount of the debt, shall reply by standard U.S. mail using the appropriate letters. All replies to one of the jointly and severally liable debtors shall also be copied and sent to the non-responding joint and severally liable debtor. The MSP Contractor shall inform the debtor or debtors of the amount that remains subject to referral where a debtor establishes that the debt or part of the debt should not be referred to Treasury due to one of the exclusions. (The response should indicate what amount will be excluded from referral at this time and what amount continues to be subject to referral). MSP Contractors shall reply to ITR responses (i.e., posed defenses) within 30 calendar days of receipt and update all appropriate systems (including HIGLAS) accordingly and timely. In the event the response from the debtor or debtors is an actual repayment (either in part or in full), the MSP Contractor shall apply the check to the debt within 20 calendar days of its receipt and update all applicable internal and shared system financial/debt tracking systems. MSP Contractors shall answer all inquiries resulting from the ITR letter. MSP Contractors shall bring closure to all checks or posed defenses to a debt prior to any actual referral of the debt to Treasury for cross- servicing via the HIGLAS system. NOTE: For debtors that have administrative appeal rights and/or the right to request a waiver of recovery under Section 1870 of the Act, the MSP Contractor shall evaluate whether any written reply constitutes an implied appeal (if the time period for an appeal has not expired) or a request for a waiver has not previously been requested.
Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.10: Responding to Correspondence as a Result of the Issuance of the ITR Letter | Justis AI