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Medicare Secondary Payer Master Class

WED06 - Evaluate the Benefits of the Primary Payer having Control in No-Fault and Workers Compensation Claims

Feb 10, 2021 12:55pm ‐ Feb 10, 2021 1:40pm


•    Understand that If ORM is accepted then the defendant is the responsible debtor and will be held accountable for reimbursement of Conditional Payments
•    Define the types of claims including personal injury protection, med pay policies, no-fault, homeowner’s policies, and workers compensation, to identify which Conditional Payment is owed by the debtor
•    Report information regarding the claim through Mandatory Insurer Reporting to ensure CMS has all pertinent information
•    Update ORM and ICDs on a quarterly basis to keep CMS informed of details of file


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