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Certified Medicare Secondary Payer Professional Certified Medicare Secondary Payer Professional CSP Program CSP The Certified Medicare Secondary Payer Professional Program is a 36-hour program designed

How to fill out certified medicare secondary payer

How to fill out certified medicare secondary payer:

1. Start by gathering all necessary information, including your personal details, such as name, address, and contact information.
2. Next, provide your Medicare Health Insurance Claim Number (HICN) or Medicare Beneficiary Identifier (MBI), along with your Medicare Part A and Part B effective dates.
3. Indicate the type of insurance coverage you have in addition to Medicare. This may include private health insurance, employer-sponsored plans, or any other secondary payer coverage.
4. If you have an insurance policy through your or your spouse's current or former employment, provide details about that coverage, such as the employer's name, policy number, and group number.
5. If you receive any other types of benefits, such as workers' compensation, liability insurance, or no-fault insurance, specify the details of those benefits and the responsible party.
6. You may also need to provide information about any pending or settled claims related to your medical care if you have received any payments or expect to receive payments in the future.
7. Include any relevant information about your attorney or representative, if applicable.
8. Review all the information you have provided, ensuring accuracy and completeness. Make sure to sign and date the form before submitting it.

Who needs certified medicare secondary payer:

1. Individuals who have Medicare as their primary health insurance provider but also have coverage from an additional source, such as private health insurance or employer-sponsored plans, may need certified Medicare Secondary Payer (MSP) status.
2. Those who frequently avail healthcare services and expect their secondary payer to cover certain costs following Medicare's payment.
3. Individuals who receive benefits from other sources like workers' compensation, liability insurance, or no-fault insurance should also consider applying for certified MSP status to ensure appropriate coordination of benefits.

For pdfFiller’s FAQs

What is certified medicare secondary payer?

Certified Medicare Secondary Payer is a program that requires certain group health plans to pay for health care services before Medicare pays.

Who is required to file certified medicare secondary payer?

Employers with group health plans that cover employees who are eligible for Medicare are required to file Certified Medicare Secondary Payer information.

How to fill out certified medicare secondary payer?

Certified Medicare Secondary Payer information is filled out using the CMS-1500 form or through electronic data interchange (EDI) transactions.

What is the purpose of certified medicare secondary payer?

The purpose of Certified Medicare Secondary Payer is to ensure that Medicare is not the primary payer for individuals who have other health insurance coverage.

What information must be reported on certified medicare secondary payer?

Information such as member ID, group health plan information, coverage start date, and other insurance details must be reported on Certified Medicare Secondary Payer.

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