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Last Modified: 7/14/2022 Location: FL, PR, USVI Business: Part B
What form do providers use to notify Medicare of an MSP overpayment?
Q. What form do providers use to notify Medicare of an MSP overpayment?
A. When a provider determines that a Medicare overpayment exists, the following steps must occur.
Provide a refund check
List all Medicare claim numbers included in the overpayment or a copy of the Medicare remittance notices with detailed claim information (Name, Medicare ID #, date of service, procedure code and billed amount)
Include the other insurer’s Explanation of Benefits (EOB) and/or payment information for every claim involved. The other insurer’s EOB must have the insurer’s name and address.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.