Once the case has been reported, the BCRC will collect information from multiple sources to research the MSP situation, as appropriate (e.g., information is collected from claims processors, Medicare, Medicaid, and SCHIP Extension Act (MMSEA Section) 111 Mandatory Insurer Reporting submissions, and worker’s compensation entities). Reporting the case is the first step in the Medicare Secondary Payer (MSP) NGHP recovery process. Click the Liability, No-Fault and Workers’ Compensation Reporting link for more information. Whenever there is a pending liability, no-fault, or workers’ compensation case, it must be reported to the BCRC. The process of recovering conditional payments from the Medicare beneficiary typically, involves the following steps: 1. This link can also be used to access additional information and downloads pertaining to NGHP Recovery. For information on when to contact the BCRC for assistance with Medicare recovery, click the Non-Group Health Plan Recovery link. The payment is 'conditional' because it must be repaid to Medicare when a settlement, judgment, award, or other payment is made. Medicare makes this conditional payment so you will not have to use your own money to pay the bill. A conditional payment is a payment Medicare makes for services another payer may be responsible for. The BCRC is responsible for ensuring that Medicare gets repaid for any conditional payments it makes.

When an accident/illness/injury occurs, you must notify the Benefits Coordination & Recovery Center (BCRC). Medicare does not pay for items or services to the extent that payment has been, or may reasonably be expected to be, made through a liability insurer (including a self-insured entity), no-fault insurer or workers' compensation entity (Non-Group Health Plan (NGHP).

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