Giving Medicare Notice for a Lien Resolution

A lien resolution can be an extremely complex legal matter that can take a great deal of a law firm’s time to resolve. Because lien resolutions are constantly evolving, we recommend outsourcing your military, ERISA, Medicaid, and Medicare lien resolutions to an experienced firm that specializes in this complex area of law. However, if you elect to move forward without the assistance of a specialized firm, the following information may be helpful to filing your notification to Medicare in order to begin the lien resolution process.

Client Representation for Medicare Liens

If you are representing a client in a Medicare lien resolution, it may seem daunting to even begin your claim. After meeting with your client and coming to an understanding of their case, it’s important to quickly fill out your initial notification to Medicare and have that paperwork submitted in a timely fashion. We cannot stress enough that the Medicare lien resolution process is extremely long and drawn out, so being efficient by submitting the notification quickly will only speed up this process.

Notification Information to Submit

If you work in personal injury law and you elect to take on the submission process for your client, the first step is an obvious one. You need to submit the information so that Medicare’s Benefits Coordination and Recovery Contractor (BCRC) can open a file with their Medicare Secondary Payer Recovery Center (MSPRC). Within the notice, it’s important to detail the beneficiary information (client’s name, health insurance claim number, basic personal information, and contact information), the case information (date of injury, date symptoms started, description of the injury, the type of claim, and the insurer’s name and address), the representative information (lawyer name, law firm name, address, and contact info), and, lastly, the “consent to release” document which gives consent to Medicare to begin communication with the attorney. After receiving the notification and once the case is opened, the MSPRC will eventually send a Rights and Responsibilities letter that summarizes the remaining guidelines for the process.

If you’ve never worked with Medicare lien resolutions before, there is no shame in not understanding the process as a whole. By consulting with a firm that primarily works in lien resolutions, this will provide you with many benefits so that you can focus on other important legal matters.

For more information or to schedule a consultation, please submit our contact request form or call (877) 242-0022.

Disclaimer: The information contained in this article is for general educational information only. This information does not constitute legal advice, is not intended to constitute legal advice, nor should it be relied upon as legal advice for your specific factual pattern or situation.

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Panter, Panter & Sampedro

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Jeffrey Meldon & Associates, P.A.

Understanding Structured Settlements and Medicare Set-AsidesThird Thursday Webinar Series

The parties agree that a Medicare Set-Aside is needed, now what? In this month's webinar, presented by Synergy CEO, Jason D. Lazarus, you will learn about the process basics for setting up a set aside including MSA allocations, funding mechanisms for set-asides, post-settlement administration as well as an overview of the process to make sure you close the case compliantly.

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