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What is Beneficiary Proof of Representation?
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You can submit a Beneficiary Proof of Representation (POR) authorization request to inform the Centers for Medicare & Medicaid Services (CMS) that the Medicare beneficiary has given another individual or entity (such as an attorney) the authority to represent them and act on their behalf with respect to their case. An individual/entity with a Verified Beneficiary POR will be able to receive copies of all mail related to the case (e.g., the Rights and Responsibilities letter, the Conditional Payment Letter, the Demand letter, etc.) as well as receive identifiable health information or resolve any potential recovery claim that Medicare may have if there is a settlement, judgment, award, or other payment.

Note: A person with a verified Beneficiary POR authorization can perform all the following actions on the Case Information page for Commercial Repayment Center (CRC) and Benefits Coordination & Recovery Center (BCRC) cases:

BCRC Cases

  • View and request authorizations
  • Request a Mailed Copy of the Conditional Payment Letter (letter goes to the beneficiary and authorized parties)
  • View and dispute claims listing
  • View or provide the Notice of Settlement information (beneficiary debtor-cases only)
  • Request an electronic copy of the Conditional Payment Letter (eCPL) (for beneficiaries and beneficiary representatives who log in using multi-factor authentication)
  • Initiate Demand Letter
  • View or submit redetermination request (beneficiary debtor-cases only)
  • Submit Waiver Request (beneficiary debtor-cases only)
  • Submit Compromise Request (beneficiary debtor-cases only)
  • Begin Final Conditional Payment Process and Provide 120 Days' Notice of Anticipated Settlement
  • Calculate Final Conditional Payment Amount (only available for cases in the Final CP process)
  • Request an electronic Dispute Denial for Final Conditional Payment Case Letter with Current Conditional Payment Amount (only available for cases in the Final CP process)

CRC Cases

  • View and request authorizations
  • Request a Mailed Copy of the Conditional Payment Letter (letter goes to the beneficiary and authorized parties)
  • View claims listing
  • Initiate Demand Letter
  • Request an electronic copy of the Conditional Payment Letter (eCPL) (for beneficiaries and beneficiary representatives who log in using multi-factor authentication)
  • View redetermination request

Actions Available to All Users - No Authorization Required

  • Request an update to the conditional payment amount
  • Request a copy of the conditional payment letter (letter goes to the debtor and authorized parties