Required Elements
This should match exactly how it is listed on their medicare card
First and Last Name
Where can you quickly check to see if injury type is still listed as unknown?
Alerts Drawer
This can be accessed in KC as the most up to date Medicare reference point.
Medicare SOP
Provides medicare a/b support, notifies medicare and obtains liens
Medicare Unit
This should be updated or left as unknown or a monthly query will be triggered.
Medicare Eligible Indicator
This should be updated to at least the last 5 digits or left blank for non-citizens.
SSN
Where do you update injury type from unknown to specific injury code?
Injuries Drawer
This requires an address to pull, but can provide DOB and SSN if available.
Lexis Nexis
This should be sent if a MAP notice already exists on the file
MAP C-D - Notify - Initial Letter
The length of time allowed to collect required Medicare data.
90 days
This should be updated for every injured party or an alert will populate.
Injury Type
Where can you access Lexis Nexis to pull DOB/SSN?
Contacts Drawer
Medicare/map process questions can be answered by this person
Kelly Lawton
What should be sent independently of the release when medicare liens exist
Medicare A/B and C/D Lien Confirmation
This Medicare Part is optional, requires a premium, and covers prescription drugs.
Medicare Part D
This should be updated to prevent DAR failure and to populate Lexis Nexis.
Address
This will populate a template to be completed and sent to obtain medicare liens by support
Claim System Activity
This can be accessed for answers to release specific questions
Casualty Release Job Aid
What is the threshold amount for an exception to requiring a separate release for medicare a/b
$750 and medicare a/b only (no c/d)
In order to qualify for Medicare, you must be 65, have had SSDI for 24 or more months, or ____.
any age with end-stage renal disease
The accurate month, day, and year are legally required
DOB
This will show that medicare eligibility or MAP plan details have been found via automated query
Injuries section -> medicare indicator
Which website can be accessed if an injured party or their representative needs to confirm plan information or review required criteria
This letter should be sent to PC with injured party cc'd as one of 3 documented attempts to obtain required data
CWL2134B (Medicare Data Request)
This is the penalty for critical non-compliance.
$1k per day up to $365k per exposure