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This page is used to capture information for the Account Manager associated with the account and the Recovery Case Mailing Address for the account. All fields are required except the MI (Middle Initial), phone extension, Address line 2, and ZIP+4 field. For more information on the Account Manager and Account Representative roles, see the How to Get Started on the Medicare Secondary Payer Recovery Portal help page.
Account Manager Information
The information entered in this section must be the Account Manager's personal information.
Table 1: Account Manager Information Section Fields
| Field | Description |
| Same as Submitter | This button only appears for a Representative account type. Informs the Medicare Secondary Payer Recovery Portal (MSPRP) that the Account Manager for the account is the same person that was entered on the Representative Information page during the New Registration process (i.e., the Account Representative). Once clicked, the fields on this page will be automatically populated with the Account Representative's information. |
| First Name | First name of the Account Manager. |
| MI | First letter of Account Manager's middle name. Note: This field is not required. |
| Last Name | Surname of Account Manager. |
| Email Address | Account Manager email address. |
| Re-enter Email Address | Second entry of the Account Manager email address for verification purposes. This information cannot be cut and pasted. |
| Phone | Account Manager phone number. |
| Ext | Account Manager extension. Note: This field is not required. |
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: The address entered on this page will update and replace the business mailing address that was entered during the registration process on the Corporate Information page (i.e., if the address entered on this page is different than what was originally submitted). However, 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.
Table 2: Recovery Case mailing Address Section Fields
| Field | Description |
| Address Line 1 | First line of the mailing address at which you want correspondence directed related to the recovery case. 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 at which you want correspondence directed related to the recovery case. 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. |
| City | Mailing address city at which you want correspondence directed related to the recovery case. |
| State | Mailing address state at which you want correspondence directed related to the recovery case. This is selected from a drop-down list box. |
| Zip | 5-digit Zip Code and the 4-digit Zip+4 Code at which you want correspondence directed related to the recovery case. Note: The ZIP+4 field is not required. |
User Agreement
Table 3: User Agreement Section Fields
| Field | Description |
| View and print the agreement below | Link that allows you to read and/or print the User Agreement and Privacy Policy. The user agreement will open in separate window. |
| User Agreement and Privacy Policy Checkbox | Checkbox that indicates acceptance/non-acceptance of the User Agreement. You must read the User Agreement and Privacy Policy provided in the scrolling box. To accept the agreement, click the checkbox. You must accept and agree to the terms of the User Agreement and Privacy Policy to continue with the registration process. Click the I accept the User Agreement and Privacy Policy above checkbox to accept the agreement and policy.
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Click Previous to return to the previous page (Account Setup - Associate Companies or Account Setup - Representative Information).
Click Continue to proceed to the next page in the Account Setup process (i.e., Account Manger Login Information page or Account Manager Summary page):
- Account Manager Login Information page - This page displays if you do not have a Login ID for the Workers' Compensation Medicare Set-Aside Portal (WCMSAP), Section 111 Coordination of Benefits Secure Web site (COBSW), and/or Commercial Repayment Center Portal (CRCP). You will create a Login ID for the MSPRP in this step.
- Account Manager Summary page - This page displays if you already have a Login ID for any of the COBSW applications.
Note: If you are an existing user of a COBSW application, you will not create a new Login ID for the MSPRP. You will use the same Login ID for each application.
January 2025
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