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MM SEA Section 111 Medicare Secondary Payer Mandatory ReportingLiability Insurance (Including Reinsurance), Default Insurance, and Workers Compensation USER GUIDE Chapter IV: TECHNICAL INFORMATION Version
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NGHP User Guide is needed by individuals or organizations responsible for managing and processing non-group health plan (NGHP) claims.
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It serves as a comprehensive reference and resource for understanding the necessary procedures and requirements when filling out NGHP-related forms and documents.
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The NGHP User Guide is a document that provides instructions and guidance on how to properly report data to the Centers for Medicare & Medicaid Services (CMS) regarding Medicare beneficiaries.
Insurance companies, self-insured entities, third party administrators, and other responsible reporting entities are required to file the NGHP User Guide.
The NGHP User Guide can be filled out electronically using the Section 111 COBSW or through CMS' designated portal.
The purpose of the NGHP User Guide is to ensure that accurate and timely information is reported to CMS regarding Medicare beneficiaries in order to coordinate benefits appropriately.
Information such as the Medicare beneficiary's name, Medicare ID number, dates of coverage, and any other relevant details must be reported on the NGHP User Guide.
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