Print | Bookmark | Email | Font Size: + |

Medicare Secondary Payer (MSP) Online Tool

Medicare is the secondary payer when a beneficiary is eligible for coverage under group insurance, Workers' Compensation, or other third-party liability (auto, no-fault, liability) plan. Verify the beneficiary's eligibility in HIPAA Eligibility Transaction System (HETS)External Website, myCGS, or the Interactive Voice Response (IVR)PDF system to determine if an open MSP record exists. Use the ANSI ASC X12N 837 format or Direct Data Entry (DDE) to submit MSP claims. Answer the questions below to determine when/how to bill MSP claims to Medicare.

NOTE: For this tool to function correctly, enable your pop-up blocker and turn on javascript.

1. Does an MSP record appear on the beneficiary's eligibility file?

Start over

Print this page


26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved