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As part of the continuing efforts to improve the Coordination of Benefits & Recovery program the Centers for Medicare & Medicaid Services has transitioned a portion of the Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) recovery workload from the Benefits Coordination & Recovery Center (BCRC) to its Commercial Repayment Center (CRC).

The Commercial Repayment Center has assumed responsibility for the recovery of conditional payments where CMS is pursuing recovery directly from a liability insurer (including a self-insured entity), no-fault insurer or workers’ compensation (WC) entity (referred to as as the identified debtor.

CMS will be hosting a Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) webinar to review the procedures and best practices for redeterminations. The event is scheduled for Thursday, September 24, 2020 at 1:00 PM ET.

The format will be opening remarks by CMS followed by a presentation from the CRC. This webinar will primarily focus upon how to effectively submit a redetermination request (sometimes called a first level appeal).

During the presentation, CMS will also be reviewing appeal requirements, what is and is not subject to appeal, and details about what documentation is needed to support the appeal request in various situations.

Those who want to attend should follow this link to login in – NGHP Appeals Webinar – and use this Conference Dial In Number: 888-829-8669, with this Conference Passcode: 6799170.

Please note that for this town hall, you will need to access the webinar link and dial-in using the information above to access the visual and audio portion of the presentation. Due to the number of participants, please dial in at least 15 minutes prior to the start of the presentation.