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The New Case Request page allows account managers or designees for Professional Administrator accounts to enter information that will be used to evaluate whether they have the authority to view summary information for a WCMSA case. These users will be required to submit a new case request for each case for which they are the administrator, and they will be required to provide the current or opening balance for all existing WCMSAs they want to administer on the WCMSAP before transaction records will be accepted for the case.
All fields are required.
To successfully submit a new case request:
- You must be the identified administrator for that case.
This means that the Employer Identification Number (EIN) associated with your account must match the EIN of the entity identified as the administrator for the case you are requesting access. If this is not correct, you will need to contact the Benefits Coordination & Recovery Center (BCRC) at 646-458-2255 to resolve this issue before continuing. - The case must have been approved.
- The final settlement documentation must have been received or validated by CMS.
In this case, you must upload the settlement information via the Attach Documentation page and submit the documents. Once the documentation has been validated, you will be able to return to the New Case Request page to submit your new case request.
New Case Request
| Field | Description |
|---|---|
| Workers’ Compensation Case Control Number | Enter the 15-character Case Control Number. The Workers’ Compensation Case Control Number must match a number for an existing case. |
| Beneficiary Medicare ID | Enter the beneficiary’s Medicare ID (HICN or MBI). Required if the claimant’s SSN is not entered. The Medicare ID is also known as the Medicare Number by CMS’ Medicare beneficiaries. The beneficiary Medicare ID must match a current or past identifier (HICN or MBI) associated with the beneficiary on the case. |
| Beneficiary Social Security Number (SSN) | Enter the beneficiary’s 9-digit Social Security Number. Required if the beneficiary’s Medicare ID is not entered. The SSN does not have to be the same identifier that was used when the case was created. The case will be found if it was submitted under the HICN or MBI. |
| Beneficiary Last Name | Enter the beneficiary’s last name. The first 2 characters (or the number of characters entered when the last name is less than 2 characters) must match the beneficiary’s last name on the case. |
| Beneficiary Date of Birth | Enter the beneficiary’s birth date (MM/DD/YYYY). This must match the beneficiary’s date of birth on the case. |
| Date of Incident | Enter the date of incident (MM/DD/YYYY). This must match the date of incident on the case. |
| Documentation Uploaded | Displays the filename of the uploaded document. Click Delete to the right of the uploaded document to delete that document. Note: This field and the filename of any uploaded documents will only be shown after a document is successfully uploaded on the Attach Documentation page. Documents can only be uploaded if final settlement documents have not yet been received. |
Reasons a Case Request May Fail
In addition to not matching field validation requirements, a case request may also fail because:
- The case is not in approved status.
- Final settlement documentation has not been received or has not yet been validated by the Centers for Medicare & Medicaid Services (CMS). In this case:
Click the Upload Documentation button to upload settlement information from the Attach Documentation page. When you return to the New Case Request page, click Submit File(s) to submit this documentation. Once the documentation has been validated, you will be able to return to the New Case Request page to submit your new case request.
Note: The Upload Documentation button is only shown for cases where the final settlement documentation has not yet been received. Additionally, when this button is active, the Continue button is disabled.
Click Continue to continue the new case request process.
Note: If you click this button and your case request fails, you will return to the New Case Request page. Review the reasons a case request may fail, make any necessary changes, and continue the case request process.
Click Cancel to cancel the case request process and return to your Home page.
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