Pre-Demand
This option allows the beneficiary or beneficiary representative with a verified POR to view or submit notice of settlement information for a beneficiary-debtor case, upload supporting settlement documentation, and if the case qualifies, elect the Fixed Percentage Option (see the What is the Fixed Percentage Option? help page). A beneficiary's representative with a verified CTR authorization will be able to view, but not submit, settlement information.
Completion of this action results in the issuance of a demand bill. Once a case has settled, notice of the settlement must be transmitted to Medicare so that the reimbursement process can be brought to a conclusion (see the Settlement Information help page). For cases that are in the Final Conditional Payment process, notice of settlement information must be submitted within 30 calendar days of requesting the final conditional payment amount.
Note: You cannot provide notice of settlement information for insurer debtor-cases (BCRC or CRC).
A notice of settlement is an agreement between one or more parties to a legal proceeding that declares the settlement and the settlement terms of the dispute. At a minimum this document contains the following information:
- Amount of Settlement,
- Date of Settlement,
- Attorney's Fees (if any), and
- Procurement Costs (if any).
For step details regarding how to complete and submit a Notice of Settlement, click the MSPRP User Guide under the Reference Materials menu in the MSPRP navigation bar.
Post-Demand
This action will direct you to the View Settlement Information page, a read-only version of the Settlement Information page, which displays the notice of settlement information previously submitted.