Letter Salad
BCRC
Benefits Coordination & Recovery Center
CPL
Conditional Payment Letter
When must the adjuster document an injured party's Medicare status?
At 1st contact and at closing
This letter is used to verify a person's Medicare eligibility? (name or form #)
Medicare Declaration Form CWL2034A
If the settlement is $800, do we need a release with a Medicare recipient?
Yes. We will secure a release for all Medicare settlements.
CMS
Center for Medicare/Medicaid Services
CTR
Consent to Release
What are the "Medicare Ping Elements" that the adjuster must obtain from every claimant?
First name, last name, DOB, SSN, *HICN (if entitled)
Conditional Payments Letter (CPL)
How does an adjuster proactively report an injury claim to the BCRC?
Activity via Support.
HICN
Health Insurance Claim Number
MBI
Medicare Beneficiary Identifier
Where are the two places where an adjuster can document the ICD-10 Codes (specific affected body parts) in Navigator?
Eval injury details screen and Injured party screen.
This letter is sent to Medicare at time of settlement with a beneficiary.
Final Settlement Detail Document (FSDD)
How does an adjuster request a CPL from Medicare?
Activity via Support
TPOC
Total payment obligation to the claimant.
MSPRC
Medicare Secondary Payer Recovery Contractor
This letter is sent to the claimant so that we can get permission to communicate with Medicare about the injured party's injury.
Is it required to use Release Builder when creating a release?
Yes - if there's something we can't do in Release Builder, see your TM to discuss.
How does an adjuster request a final lien from Medicare?
Activity via Support
FSDD
Final Settlement Detail Document
MST
Medicare Support Team
Where is the TPOC documented in Navigator?
Negotiation, Resolution screen
This letter is used to appeal a Medicare's lien.
Medicare Redetermination Request Form
At what age do people become Medicare entitled?
65