Last Modified: 4/24/2019
Location: FL, PR, USVI
Business: Part B
Q. Who is the Benefits Coordination and Recovery Center (BCRC) and what is its purpose?
A. The Benefits Coordination & Recovery Center (BCRC) consolidates the activities that support the collection, management, and reporting of other insurance coverage for Medicare beneficiaries. The purpose of the COB program is to identify the health benefits available to a Medicare beneficiary and to coordinate the payment process to prevent mistaken Medicare payment. The BCRC does not process claims or claim-specific inquiries. The Medicare administrative contractors, (MACs) are responsible for processing claims submitted for primary or secondary payment and resolving situations where a provider receives a mistaken payment of Medicare benefits.
All Medicare Secondary Payer (MSP) claims investigations are initiated from and researched by the BCRC, and is not a function of the local Medicare claims paying office. This single-source development approach greatly reduces the number of duplicate MSP investigations. This also offers a centralized, one-stop customer service approach for all MSP-related inquiries, including those seeking general MSP information. The BCRC provides customer service to all callers from any source, including, but not limited to, beneficiaries, attorneys/other beneficiary representatives, employers, insurers, providers, and suppliers.
Contact the BCRC for the following:
• Report employment changes or any other insurance coverage information
• Report a liability, auto/no-fault or workers compensation case
• Ask questions regarding a COB MSP claims investigation
• Ask general Medicare Secondary Payer (MSP) questions
• How to obtain conditional payment information
• How to obtain Medicare’s final recovery claim amount
• Ask questions regarding MSP recovery demand letters
• Ask questions regarding repayment of recovery claims
MSP information may be found on the Centers for Medicare & Medicaid Services (CMS) website.
The BCRC customer service department can be reached at 1-855-798-2627 or 1-855-797-2627 for the hearing and speech impaired.
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