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65 Days

Don't Forget!
An initial Conditional Payment Letter (CPL) does NOT need to be requested. A CPL will now be generated automatically within 65 days of the issuance of the "Rights and Responsibilities Letter".


Announcements

January 20, 2010 - January Group Health Plan Demands

The MSPRC will issue Group Health Plan (GHP) Demands on January 25, 2010. Taking insurer workloads into consideration, an insurer may not receive a demand monthly. This process will increase manageability of GHP demands as well as efficiencies in the GHP Recovery Process for insurers, employers, and the MSPRC.

Please refer to the presentation entitled GHP Process Employers and Insurers/TPAs for more information on the GHP Demands, the GHP Recovery Process, and instructions on submitting a valid documented defense.

For information regarding Group Health Plan Demands sent December 31, 2009 click here.

About MSPRC

The Centers for Medicare & Medicaid Services (CMS) has consolidated all of the functions and workloads related to Medicare Secondary Payer (MSP) post-payment recoveries into one MSP recovery contract. The contract for the new national MSP Recovery Contractor (MSPRC) was implemented on October 2, 2006. The MSPRC has taken over new MSP recovery cases and most existing cases. However, some existing MSP recovery cases will remain the responsibility of the case processing contractors. The following sections will help you determine how the change to a national MSPRC will affect you.