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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".


News and Updates

Alert: Incorrect Telephone Number for MSPRC Listed on August PPNs

If you received a Primary Payment Notice (PPN) letter from the MSPRC dated August 27, 2010, you may have noticed the telephone number was incorrect. The correct number to contact MSPRC is 1-866-677-7220. We apologize for any inconvenience this may have caused.

The MSPRC is excited to introduce the implementation of the new “Primary Payment Notice” (PPN)!

In an effort to produce more accurate demands, As of August 1, 2010, the MSPRC will now issue the new “Primary Payment Notice” (PPN) for all Group Health Plan cases prior to sending a recovery demand letter. The Primary Payment Notice provides Employers/Other Plan Sponsors and Insurers/TPAs an easy way to review, validate, and correct beneficiary coverage information submitted to the COBC before a demand is issued.

For more details on this new process, please refer to the PowerPoint presentation
entitled:"The New Primary Payment Notice for GHP Recovery.” You can find this presentation along with a sample of the PPN letter in the Group Health Plan section of the “Tool Kits” page and in the new GHP Primary Payment Notice & Process section below.

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.