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Administering Demand Letters from Centers for Medicare and Medicaid Services (CMS)

Overview

Centers for Medicare and Medicaid Services (CMS), Coordination of Benefits and Recovery (COB&R), is the organization that oversees the Medicare Coordination of Benefits.

Process Considerations:

  • CMS, COB&R works with Employee Trust Funds (ETF) for coordination of benefits to verify if Medicare is the primary or secondary payer.
  • If CMS, COB&R determines Medicare should be the secondary payer, a claim will be forwarded for collection.
    •  A demand letter will be sent to the employer, UW Shared Services, and the health insurance carrier.
    • The employer is allowed 60 days to resolve the issue until a second notice is sent.

Instructions

Demand Letters from CMS, COB&R are handled internally by UW Shared Services. If you receive requests/documentation, please forward to UW Shared Services for processing.





Keywords:Medicare Data Match Demand Letters CMS Benefit Coordination & Recovery Center BCRC Coordination of Benefits COB BN, Benefits BN, Benefits   Doc ID:52203
Owner:Christina S.Group:UW–Shared Services
Created:2015-06-10 14:06 CDTUpdated:2021-07-23 13:02 CDT
Sites:UW–Shared Services
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