U.S. Flag An official website of the United States government

Update Settlement Information

This page provides you with the ability to edit your settlement information and revise documentation prior to initiating the demand letter process. Completion of this page will result in the issuance of a demand or bill.

This page will display your current Settlement Amount, Settlement Date, Attorney Fees, and MED/PIP/Other Exclusions. You can also upload documentation by clicking the Upload Documentation link.

Table 1: Update Settlement Information

FieldDescription
Settlement Amount

The dollar amount of the total payment obligation to or on behalf of the Medicare beneficiary in connection with the settlement, judgment, award or other payment. Note: If attorney fees and/or costs are awarded in addition to the settlement, please include the award as a part of the Settlement Amount. This field is required.

Data Entry Requirements:

  • Enter a numeric value (decimals and commas are optional. You can enter cents as well. If cents are not entered, the MSPRP will store the amount with zero cents. For example, a settlement amount of $10,000. Could be entered as: 10000; or 10,000; or 10,000.00).
  • Do not enter the '$' as part of your entry.
  • Must be greater than or equal to $0.01 (one cent).
Settlement Date

The date the payment obligation was established, not necessarily the payment date or check issue date. It is the date the obligation is signed if there is a written agreement unless court approval is required. If court approval is required it is the later of the date the obligation is signed or the date of court approval. If there is no written agreement it is the date the payment (or first payment if there will be multiple payments) is issued. This field is required.

Data Entry Requirements:

  • Must be a valid date.
  • Date must be greater than 01/01/1960.
  • Date must be less than or equal to the current date.
  • Date must be greater than the Date of Incident on the case.

Note: For cases in the Final Conditional Payment process: if the entered Settlement Date is not within 3 business days of the Final Conditional Payment Requested date, you will be asked to verify the Settlement Date. If the Settlement Date is not within 3 business days of the Final Conditional Payment Requested Date, the case will be voided from the Final Conditional Payment process.

Settlement Details

Select one of the four options: None, Attorney Fees, or Attorney Fee Percentage. If no option is selected, the settlement information will be processed without Attorney Fees.

Note: Any previously selected settlement details radio button (None, Attorney Fees, Attorney Fee Percentage) will not be displayed as selected. You will be required to select one of these options to continue.

Table 2: Settlement Details

OptionDescription
NoneIndicates that the beneficiary did not incur any attorney fees.
Attorney Fees

Indicates that the beneficiary incurred attorney fees. Use this selection when a dollar amount will be entered for the attorney fees and/or expenses.

Important: Fees and costs are limited to what the beneficiary had to pay to attain the settlement. Only those costs borne by the beneficiary should be entered. If nothing is entered, this request will be processed without Attorney Fees.

If the insurer/employer is entering settlement information for a workers' compensation case and the attorney fees and/or expenses were paid by the beneficiary:

  • The MSPRP will prevent you from entering attorney fees and costs.
  • Do not upload any settlement documentation on the MSPRP.
  • If you need to submit attorney fees & expenses, you must submit this information in writing (mail/fax) to the following address/fax (for BCRC cases only):

NGHP
PO Box 138832
Oklahoma City, OK 73113
Fax: (833)-844-1540
 

Data Entry Requirements:

  • Enter a numeric value (decimals and commas are optional. You can enter cents as well. If cents are not entered, the MSPRP will store the amount with zero cents. For example, a settlement amount of $10,000. Could be entered as: 10000; or 10,000; or 10,000.00).
  • Do not enter the '$' as part of your entry.
  • Must be greater than or equal to $0.01 (one cent).
  • Attorney Fees and/or Attorney Expenses cannot both be zero.

Attorney Fees: Total amount charged by the attorney to take the case.

Attorney Expenses: Total amount of additional expenses (not including the Attorney Fees) charged by the attorney.

Attorney Fee Percentage

Attorney fees and/or expenses are not allowed for a workers' compensation (WC) case, unless the beneficiary is the debtor therefore:

  • The MSPRP will prevent you from entering attorney fees and costs.
  • Do not upload any settlement documentation on the MSPRP.
  • If you need to submit attorney fees & expenses, you must submit this information in writing (mail/fax) to the following address/fax (for BCRC cases only):

NGHP
PO Box 138832
Oklahoma City, OK 73113
Fax: (833)-844-1540

 

Exclusions

MED/PIP/Other Exclusions: The total coverage amount paid directly to the Medicare beneficiary and/or Medicare from Medical Payments Coverage (MEDPAY), Personal Injury Protection (PIP) or another coverage with respect to the accident/injury/illness/incident being claimed and/or released. Note: If Medicare has paid claims in relation to the incident, Medicare's recovery amount will be directly impacted by the amount entered.

Data Entry Requirements:

  • When entered, it must contain a numeric value (decimals and commas are allowed).

Attestation

A checkbox that indicates you are confirming the accuracy of the submitted settlement information. You must select this box in order to submit your updated settlement information.

Upload Supporting Documentation

When updating settlement information, you can upload official settlement documentation (court documents). Click the Upload Documentation link.

Supporting Documentation Restrictions

  • Submit settlement related documentation only. Any other documents submitted will not be reviewed.
  • Do not submit a dispute as part of the settlement documentation.
  • Do not mail or fax any documentation that you have successfully uploaded to the MSPRP. This will slow down the review process.

When you are ready to submit your supporting documentation, click Upload Documentation. Once clicked, the Documentation Upload page will display. Follow the instructions for uploading documentation found in the Upload Documentation help page.

After you have uploaded all required files on the Documentation Upload page, click Continue. You will be returned to the Update Settlement Information page. Verify that the correct files have been uploaded.

If an incorrect file has been uploaded, click Delete. This will remove the file and it will not be uploaded to the case.

Click Continue to submit the files to CMS and to continue to the Notice of Settlement Confirmation page. From this page, you can return to the Case Information page where you will see that the Case Status has changed to Demand in Progress.

Click Cancel to return to the Initiate Demand Letter Confirmation page without submitting any files to CMS.

Click Print this Page to keep a copy of this information for your records.

April 2025

CMS.gov Logo

 

A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. 
7500 Security Boulevard, Baltimore, MD 21244