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Medicare Secondary Payer Manual



The Medicare Secondary Payer Manual is a new manual that replaces current Medicare Secondary Payer instructions for Medicare providers and contractors. Corresponding sections within current manuals will be removed within a few weeks.

New MSP instructions will be published in this manual. Manual transmitals through Revision Transmittal Number 13, dated March 19, 2004, are included in this update. As new transmittals are included they will be identified on this page. To review individual transmittals, view the CMS Transmittal Web site.

A crosswalk from the new manual to the source manual instruction is provided with each chapter. A crosswalk for the entire chapter may accessed from the chapter table of contents. Also, the crosswalk for each section is shown immediately under the section heading.

You may either view the file in PDF or download a zipped MSWord file


Chapter Title PDF File Zipped Word File
1 Background and Overview
Link to Chapter 1 - General Requirements Adobe pdf file, 257 KB 257 KB Link to Chapter 1 - General Requirements zipped Word file, 50 KB 50 KB
2 MSP Provisions Link to Chapter 2 - MSP Provisions Adobe pdf file, 441 KB 441KB Link to Chapter 2 - MSP Provisions zipped Word file, 38 KB 38 KB
3 MSP Provider Billing Requirements Link to Chapter 3 - MSP Provider Billing Requirements Adobe pdf file, 485 KB 485 KB Link to Chapter 3 - MSP Provider Billing Requirements zipped Word file, 112 KB 112 KB
4 Coordination of Benefits Contractor (COBC) Requirements Link to Chapter 4 - Case Review Adobe pdf file, 82 KB 82 KB Link to Chapter 4 - Case Review zipped Word file, 38 KB 38 KB
5 Contractor Prepayment Processing Requirements
Link to Chapter 5 - Beneficiary Complaint Review Adobe pdf file, 1,067 KB 1,067 KB Link to Chapter 5 - Beneficiary Complaint Review zipped Word file, 181 KB 181 KB
6 Medicare Secondary Payer (MSP) CWF Processes Link to Chapter 6 - Medicare Secondary Payer (MSP) CWF Processes Adobe pdf file, 722 KB 722 KB Link to Chapter 6 - Medicare Secondary Payer (MSP) CWF Processes zipped Word file, 59 KB 59 KB
7 Contractor MSP Recovery Rules Link to Chapter 7 Adobe pdf file, 1,440 MB 1,440 KB Link to Chapter 7 zipped Word file, 204 KB 204 KB


Link to One Time Notifications Page One Time Notifications

Link to Business Requirements page Business Requirements for Contractors

Link to Confidential Requirements page Confidential Requirements for Contractors


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Last Modified on Thursday, September 16, 2004