This page allows you to continue the case reporting process from the Welcome! page (if you are a beneficiary) or the Report a Case page (if you are a non-beneficiary). Use this page to enter information related to the incident to verify that the case does not already exist and to determine whether the case is eligible to be created.
Field | Description |
Beneficiary's Medicare ID | Enter the beneficiary's Medicare ID (Health Insurance Claim Number [HICN] or Medicare Beneficiary Identifier [MBI]).
This can be found on the beneficiary's Medicare card. Note: This field is required if the Social Security Number (SSN) is not entered. You must enter either the Medicare ID or the SSN, but not both. |
Social Security Number (SSN) | Enter the beneficiary's SSN. This can be found on the beneficiary's Social Security card. This field can only accept numbers. Do not enter dashes or spaces. Note: This field is required if the Social Security Number (SSN) is not entered. You must enter either the Medicare ID or the SSN, but not both. |
Beneficiary's Last Name | Enter the beneficiary's last name. Required. Note: You must enter at least the first 2 characters. |
Beneficiary's Date of Birth | Enter the beneficiary's date of birth. Required. |
Date of Accident/Incident | Enter the date of accident or incident for the case. Required. Note: You must enter a date on or after 1/1/1900 and in MMDDYYYY format. The date entered must also be less than the current date and be within the current and/or previous Part A or Part B entitlement period. If the beneficiary was not entitled to Medicare on the date entered, you will not be able to proceed. |
Insurance Type | Select the insurance type (Liability [including self-insurance] or Workers' Compensation). Required. |
Note: The Medicare ID or SSN, Beneficiary's Last Name, and Beneficiary's Date of Birth are automatically set and not editable when the beneficiary accesses the MSPRP from Medicare.gov. Data entered in these fields must match an active Medicare beneficiary exactly or you will receive an error.
Click Continue to continue the reporting process.
Note: By clicking Continue, you will be asked to acknowledge that you are requesting the creation of an MSP liability or workers' compensation beneficiary debtor lead. Click OK to continue the case creation process.
Note: To report a no-fault case, contact the BCRC by phone at 855-798-2627 or by mail at:
NGHP
PO Box 138832
Oklahoma City, OK 73113
Click Cancel to cancel the reporting process and return to the Welcome! page (if you are a beneficiary) or return to the Account List page (if you are a non-beneficiary user).
Case Not Eligible for Creation
If a match is found to an existing case where recovery was previously pursued or is in the process of being pursued (including a case in a closed or demanded status), the new case will not be developed. You will be redirected to the Case Found page, and each matching case will automatically be added to your Case Listing page.
Case Eligible for Creation
If there is a matching record that can be developed into a case, the existing record will be used to develop the case. If there are any
diagnosis codes on the existing record, you will be redirected to the Case Submission Confirmation page. If there are no diagnosis
codes on the existing record, you will be redirected to the Case Creation Continued page.
Note: If an exact match is found, that record will be developed. If multiple matching records are found (such as two or more records with the same date of accident or incident, also known as the Date of Incident [DOI]), the record that was most recently added in the BCRS will be developed. If there is no exact match on the date of accident or incident, the most recent case (within three days) will be developed. All remaining associated records will remain associated to the most recently added record.
If a match is not found for an existing record (that is, in a status that would allow it to be developed) or for a case where recovery was not previously pursued and is not in the process of being pursued (including a case in a closed or demanded status), the new case will be developed. You will then be directed to the Case Creation Continued page, where you can enter and edit related diagnosis codes for the case.
April 2025