The letter was sent in response to a request for Medicare's conditional payment amount.
What the letter means
The dollar amount reflected in the letter is Medicare's interest in the case. When negotiating a settlement, it should be kept in mind that Medicare needs to be reimbursed out of the settlement proceeds.
Follow-up with the MSPRC as needed to determine if the conditional payment amount has increased. When the case does settle, forward settlement information to the MSPRC.