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Printed Date: 9/22/2015
Medicare Secondary Payer (MSP) is the term generally used when the Medicare program does not have primary payment responsibility. In this situation, another entity has the responsibility for paying on a claim before Medicare. Medicare remains the primary payer for beneficiaries who are not covered by other types of health insurance or coverage.
The CMS guidelines governing these processes can be found on the CMS website under:
Other CMS reference material:
Palmetto GBA is committed to helping providers understand the MSP process. For more information and the options available to you, please select the link below for additional information regarding the MSP process.
MSP records are maintained by the BCRC. Medicare contractors are unable to update a patient’s insurance information with the BCRC by phone. The BCRC can accept MSP change information from providers in some situation. In others, the BCRC may ask providers to fax or mail proof of insurance information, or require the beneficiary to call to report the change.
Providers can also reference the Medicare Learning Network (MLN) Special Edition Article SE1416 – Updating Beneficiary Information with the Benefits Coordination & Recovery Center.
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Last Updated: 12/01/2018