This page lists each payment Medicare has made for an item/service associated to the case and provides you with the ability to dispute any unrelated claims. The Case ID and the Current Conditional Payment Amount for the case are displayed at the top of the page. The Case ID displayed will either be the Benefits Coordination & Recovery Center "BCRC Case ID" (BCRC insurer cases and all beneficiary cases) or the Commercial Repayment Center "CRC Recovery ID" (CRC insurer cases).

Because of the requirements of the Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Privacy Rule, all Protected Health Information (PHI) will be masked if included on the Claims Listing page, unless you are the beneficiary, or you have logged in using Multi-Factor Authentication.

The following claim information that is currently associated to the Case ID is displayed under the Claims heading on the bottom half of this page:

To select or deselect all claims on the page for the purpose of submitting a dispute, click the Select/Deselect hyperlink at the end of the list. Only those claims available for dispute will be selected.

To export the claims data to your computer as a spreadsheet, click the Export button. Click the Clear button to remove any sorting or filtering and restore the default display of claims information.

Claims Listing Fields

Field	Description
Dispute	Checkbox that indicates whether the claim is or is not being disputed. There are three statuses: Blank - indicates the claim is selectable. It can be disputed by clicking the box. Faded checkmark - indicates the claim is not selectable. It has been previously selected for dispute and is currently under review, or was selected for dispute for a Final Conditional Payment case and was denied, and cannot be disputed again. Blank (Protected) - indicates the claim has not been disputed but the claim is not available because of the user's authorization level. For BCRC Cases Who can view claims? Beneficiaries, case debtors, or users with verified Beneficiary Proof of Representation (POR), Beneficiary Consent to Release (CTR), or Recovery Agent Authorization. Who can dispute claims? Users must be the case beneficiary, the case debtor, or have verified Beneficiary POR or a Recovery Agent Authorization. For CRC Cases Who can view claims? Case beneficiaries, users with verified Beneficiary POR or Beneficiary CTR, case debtors (insurers) and insurer representatives with a verified Recovery Agent Authorization. Who can dispute claims? Users must be the insurer debtor or an authorized insurer representative with a verified Recovery Agent Authorization. Beneficiaries, or their representatives, cannot dispute claims.
Claim Control ID (ICN)	Claim Number (Internal Control Number) assigned to the claim by the Medicare processing contractor. The first eight characters will be masked (hidden) from view, unless you are the beneficiary, or you have logged in using the Multi-Factor Authentication process.
Line Number	Reference to the individual service rendered on the claim.
Total Charges	Amount billed by the provider. Sortable and filterable column: click the arrows in the header to sort or reverse sort order; type in the text box to show only claims containing the entered text.
Reimbursed Amount	Amount Medicare paid the provider.
Conditional Payment	Amount due Medicare.
Dispute Submitted Date	The (most recent) date the dispute was submitted on a case. Note: The field will remain blank for any disputes submitted prior to the implementation of this feature. Sortable and filterable column: click the arrows in the header to sort or reverse sort order; click the drop-down menu at the top of the column to show only claims in the selected date range.
Dispute Decision Date	The (most recent) date for the dispute decision. Note: The field will remain blank for any disputes submitted prior to the implementation of this feature. Sortable and filterable column: click the arrows in the header to sort or reverse sort order; click the drop-down menu at the top of the column to show only claims in the selected date range.

To assist you in correctly identifying a claim for dispute, it is recommended that you have your Payment Summary Form. Your form will have more comprehensive information than what is displayed on this page and will assist you in identifying and matching the claim information that should be included or disputed on the MSPRP.

The claim information will be listed in the same order as the Payment Summary Form that is mailed with the Conditional Payment letter. You can see examples of the Payment Summary Form by clicking on the MSPRP User Guide under the Reference Materials menu.

The claims displayed on the Claims Listing page may differ from those listed on your Payment Summary Form if there has been any recent case activity between the date of the form and the current date. For example, information may have been removed as a result of a dispute or added as a result of new claims being associated to the case.

Note: If a claim was disputed and the dispute was approved, the claim will automatically be removed from the Claims Listing page.

Claim Information Updates

Claims are retrieved daily and will be up-to-date as of the previous day. The MSPRP displays claim information for your case on the Case Information page. The current conditional payment amount is displayed in the Current Conditional Payment Amount field.

Dispute Unrelated Charges

To dispute the inclusion of a claim that is unrelated to your case, click the Dispute checkbox next to the claims(s) in dispute. You may only dispute a claim one time if the case is the Final Conditional Payment process.

Note: If the Dispute checkbox contains a faded checkmark, this indicates the claim has been previously selected for dispute and is currently under review, or was selected for dispute for a Final Conditional Payment case and cannot be disputed again. Once all disputed claims are selected, click Continue to proceed to the Claims Dispute Verification page where you must confirm the claim(s) selected for dispute.

Click Print this page to print a copy of this page for your records.

Click Cancel to return to the Welcome! page and forego the dispute process at this time. None of your claim dispute selections will be saved.

January 2024