How do I get a Medicare lien amount?

You can also obtain the current conditional payment amount from the BCRC or the Medicare Secondary Payer Recovery Portal (MSPRP). To obtain conditional payment information from the BCRC, call 1-855-798-2627.

What is a Medicare consent to release form?

The medicare consent to release form is a form that allows a beneficiary to provide all of the information needed for the Centers for Medicaid and Medicare Service (also known as CMS), to release information regarding an injury/illness and/or a settlement for the date (specified) of illness or injury.

What is proof of legal representation?

Proof of Representation is required for the Benefits Coordination & Recovery Center (BCRC) to communicate with and provide information to an attorney that represents a Medicare beneficiary.

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P ROOF OF REPRESENTATION Authorized Representative

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Enta al ative the aut thority to rep present them and act on their behalf with respe m n ect to any claims for liability insu y urance, no-fa insuranc or worke compens ault ce, ers sation, including releasing identifiab ble health information or resolvin any pote h n ng ential recove claim th Medicare may have if there is a settlement, ery hat e e judgm ment, award, or other payment. Th undersig , p he gned repres sentative agrees that th hey represe the stated ent Medic care beneficiary. e ent.

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