An official website of the United States government
This page confirms that you have successfully submitted the supporting documentation for an authorization. The Case ID, Beneficiary Last Name, and Medicare ID (Health Insurance Claim Number [HICN] or Medicare Beneficiary Identifier [MBI]) for the case are displayed at the top of the page. The names of each submitted document display beneath this information.
Click Continue to return to the Case Information page.
Click the Print this Page link to print a copy of this page for your records.
The Conditional Payment Letter will not be automatically sent after an Authorization has been submitted. You must select the Request a copy of the conditional payment letter link on the Case Information page to have the system generate the Conditional Payment Letter.
NOTE: Please do not mail or fax any documentation that you have successfully uploaded to the MSPRP.
A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
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