This page is used to capture information for the corporate entity that will be working on/accessing recovery case information under this Medicare Secondary Payer Recovery Portal (MSPRP) account. All fields are required except for Address Line 2 and the 4-digit ZIP+4 Code.
Corporate Information Fields
| Field | Description |
| Employer Identification Number (EIN) | EIN or Tax Identification Number (TIN) assigned to the Corporate entity by the Internal Revenue Service (IRS). Note: The number entered must be unique in the MSPRP. The same EIN/TIN cannot be registered for more than one account. If the Corporate account has more than one EIN/TIN, submit any one of the numbers. |
| Corporation Name | Name of the company registering for the Corporate account. |
| Recovery Case Mailing Address | The information entered in this section should be for the mailing address at which you have previously received correspondence from Medicare related to the recovery case or the address at which you want correspondence directed. This address will be used to link the Account to associated recovery cases. Once this link is established, the level of authorization that the account can/should have on the case is determined and appropriate MSPRP functionality for that account is enabled on the MSPRP. Note: Submitting an address change on the MSPRP will not automatically change your address on existing cases. To make a permanent address change to existing cases, please see the section titled 'How to Submit a Permanent Address Change' in the MSPRP Registration Guidelines and Scenarios help page. |
| Address Line 1 | First line of the mailing address for the Corporation. Street number and street name should be placed on one address line field while other information such as suite number, attention to, etc. should be placed on the other. |
| Address Line 2 | Second line of the mailing address for the Corporation. Street number and street name should be placed on one address line field while other information such as suite number, attention to, etc. should be placed on the other. Note: This field is not required. |
| City | Mailing address city for the Corporation. |
| State | Mailing address state for the Corporation. This is selected from a drop-down list. |
| ZIP Code | 5-digit ZIP Code for the Corporation and the 4-digit ZIP+4 Code for the Corporation. Note: The 4-digit ZIP+4 is not required. |
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