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What Are the Medicare Secondary Payer Reporting Requirements for Our Company's Group Health Plans?
Thomson Reuters / EBIA Link to more items from this source
[Guidance Overview]
Oct. 31, 2024

"The purpose of the MSP mandatory reporting requirements is to help CMS determine whether a plan is primary to Medicare.... Responsibility for reporting falls upon the entity serving as an insurer or TPA for a group health plan, or, in the case of a self-insured, self-administered group health plan, a plan administrator or fiduciary.... [R]eporting is required for insured and self-insured major medical plans but not for health FSAs ... HRAs are generally considered to be group health plans that must be reported for MSP purposes[.]"  MORE >>

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