This confirmation page indicates that you have successfully submitted your redetermination request.
The following information is displayed:
- Case ID
- A list of the claims submitted with the redetermination
- Notes submitted with the redetermination, if applicable
- A list of document names submitted with the redetermination, if applicable
If you need to submit any additional documentation for this request, you may upload it on the MSPRP using the Submit Case Documentation action found on the Case Information page or mail it to one of the following addresses:
For Benefits Coordination & Recovery Center (BCRC) cases:
MSPRP
PO Box 138832
Oklahoma City, OK 73113
For Commercial Repayment Center (CRC) cases:
Commercial Repayment Center (CRC)
PO Box 1610
Lathrop, CA 95330
Click Continue to return to the Case Information page.
Click Print this page to print a copy of this page for your records.
July 2024

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