This page allows you to review payment information and edit the payment amount, if necessary, before submitting a payment for a demand.

Notes: You may make a full or partial payment using this page. However, if you are making a partial payment and you want to appeal individual claims associated with your case, you should upload supporting documentation via the redetermination, waiver, or compromise request action.

When the following message appears - "Some data fields are temporarily unavailable. Please try back later." - the data could not be retrieved in real time, but the normally real-time Total Remaining Balance Amount field may show recent data instead.

Field	Description
Case ID	The primary identifier assigned by the Centers for Medicare & Medicaid Services (CMS) to the case. The Case ID is located on any case-specific correspondence received from Medicare such as the Rights and Responsibilities Letter or Conditional Payment Letter. The Case ID is a 15-digit number in ##### ##### ##### format. Read-only.
Debtor Name	The name of the debtor. Read-only.
Remaining Principal Amount	The real-time total remaining principal balance amount for the case. Read-only.
Remaining Interest Amount	The real-time total remaining interest balance amount for the case. Read-only.
Total Remaining Balance Amount	The real-time total remaining balance amount for the case. Read-only. Note: This amount does not include pending electronic payments.
Pending Electronic Payment Amount	The total amount of all pending electronic payments. Read-only.
Payment Amount	The amount of the payment to be submitted on Pay.gov. Enter a new amount to update the payment amount. Required. Note: By default, this amount is set to the total remaining balance amount on the case minus any pending payments. You may update the payment amount to make a partial payment by entering the new value. Your payment cannot be greater than the default payment amount.
Account Holder Name	Enter the name of the account holder. Required.

Click Continue to open the payment site on Pay.gov (a secure government-wide collection portal). From this page, you may select your payment method (Bank Account [ACH], Debit Card, or PayPal account [if linked to a bank account]) and complete your payment. Once your payment is complete, you will be redirected to the Payment Status page on the MSPRP.

Click Cancel to return to the Case Information page and cancel the payment process.

Notes: If the Pay.gov site is not available, you will get an error message saying to try again later.

If you decide to cancel the payment process on Pay.gov, you will be returned to the MSPRP Make a Payment page.

July 2022