Centers for Medicare and Medicaid Services
Medicare Benefits Coordination & Recovery Center (BCRC)
Centers for Medicare and Medicaid Services - National Office
7500 Security Blvd, Baltimore, MD, 21244
(855) 798-2627
https://www.cms.gov/medicare/coordination-benefits-recovery/overview/coordination-benefits
Service Details
Description
Ensures Medicare pays only for services where it is the primary payer and that no other insurance or reimbursement payment options exist.
Their work includes:
* Ensuring that Medicare gets repaid by the beneficiary for any conditional payments it makes related to a liability, no-fault, or workers' compensation case for parts A and B claims
* Identifying situations in which Medicare beneficiaries have other insurance that is primary to Medicare
* Collecting, managing, and reporting of other insurance coverage for beneficiaries
* Determining which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan
* Researching if Medicare or another plan or policy should pay first
* Recovering payments from beneficiaries made for them by mistake
* Updating databases about employer, no-fault and workers' compensation plans
* Creating Medicare Secondary Payer (MSP) records to keep Medicare from paying when it shouldn't
* Sharing data to the Medicare Beneficiary Database (MBD) for prescription drug benefit coordination
Features
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Area Served by County
- Aitkin County
- Anoka County
- Becker County
- Beltrami County
- Benton County
- Big Stone County
- Blue Earth County
- Brown County
- Carlton County
- Carver County
- Cass County
- Chippewa County
- Chisago County
- Clay County
- Clearwater County
- Cook County
- Cottonwood County
- Crow Wing County
- Dakota County
- Dodge County
- Douglas County
- Faribault County
- Fillmore County
- Freeborn County
- Goodhue County
- Grant County
- Hennepin County
- Houston County
- Hubbard County
- Isanti County
- Itasca County
- Jackson County
- Kanabec County
- Kandiyohi County
- Kittson County
- Koochiching County
- Lac qui Parle County
- Lake County
- Lake of the Woods County
- Le Sueur County
- Lincoln County
- Lyon County
- Mahnomen County
- Marshall County
- Martin County
- McLeod County
- Meeker County
- Mille Lacs County
- Morrison County
- Mower County
- Murray County
- Nicollet County
- Nobles County
- Norman County
- Olmsted County
- Otter Tail County
- Pennington County
- Pine County
- Pipestone County
- Polk County
- Pope County
- Ramsey County
- Red Lake County
- Redwood County
- Renville County
- Rice County
- Rock County
- Roseau County
- Scott County
- Sherburne County
- Sibley County
- St. Louis County
- Statewide
- Stearns County
- Steele County
- Stevens County
- Swift County
- Todd County
- Traverse County
- Wabasha County
- Wadena County
- Waseca County
- Washington County
- Watonwan County
- Wilkin County
- Winona County
- Wright County
- Yellow Medicine County
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Specialization
- Disabilities
- Older adults
Eligibility
When to contact the Center:
* To report employment changes or any other insurance coverage information
* To report a liability, auto/no-fault, or workers' compensation case
* To ask a question about general Medicare Secondary Payer (MSP) issues
* To respond to Centers for Medicare & Medicaid Services (CMS) questionnaires submitted to beneficiaries
Application Instructions
Call for assistance between 8:00am - 8:00pm, Monday - Friday (Eastern Time)
Fees
There is no fee for this service.
Area Served
Nationwide
Websites
Phone Numbers
Type | Number | Hours |
---|---|---|
Main | (877) 267-2323 | |
Main - Medicare | (800) 633-4227 | |
TTY - CMS Administration | (866) 226-1819 | |
TTY - Medicare Help | (877) 486-2048 |
Last Update
10/10/2024
Other Locations
This provider does not offer this service at other locations.
Other Services or resources
Taxonomy Terms Used: Clicking a taxonomy term from the list below launches a new search.
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LH-3500.5000Medicare Information/Counseling Definition
Programs that offer information and guidance for older adults and people with disabilities regarding their health insurance options with the objective of empowering them to make informed choices. Included is information about benefits covered (and not covered); the payment process; the rights of beneficiaries; the process for eligibility determinations, coverage denials and appeals; consumer safeguards; and options for filling the gap in Medicare coverage (Medigap supplement insurance). Also available is information relating to an individual's eligibility for benefits and assistance with evaluating their options and enrolling in a Medicare plan (A, B, C, and/or D) that will best meet their needs. These programs also address coordination of benefits when beneficiaries have other types of health insurance in addition to Medicare (e.g. Medicaid, employer coverage or retiree insurance) and provide counseling and assistance regarding the subsidies that are available to low income beneficiaries enrolled in the Part D Prescription Drug Benefit (which help pay for Part D premiums and reduce the cost of prescriptions at the pharmacy) and the Medicare Savings Programs which help pay for Medicare out-of-pocket costs. They may also provide information about Medicaid and the linkages between the two programs, referrals to appropriate state and local agencies involved in the Medicaid program, information about other Medicare-related entities (such as peer review organizations, Medicare-approved prescription drug plans, Medicare administrative contractors), and assistance in completing related Medicare insurance forms.
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YC-5100Medicare Beneficiaries Definition
Individuals, age 65 and older or younger than age 65 with a disability, who have hospital, medical and prescription drug insurance through the federally-funded Medicare program.
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YC-9500Workers Compensation Recipients Definition
Individuals who have lost their earnings due to accidental injury on the job or occupational illness and are receiving compensation from the government mandated, employer supported disability program.