How is Medicare made aware of liability, no-fault, workers compensation situations?
Beneficiaries and their attorneys are obligated to notify Medicare when they make a claim against a liability, no-fault, workers compensation insurer. Medicare may also learn of such situations from providers, suppliers, insurers, and other parties. While most liability recovery files are established when attorneys contact COBC, others are started when Medicare receives positive feedback from the letters generated when trauma code services are billed to Medicare. Still other files are started when Medicare’s COBC receives notice directly from beneficiaries (via phone call or written correspondence), when they receive notice from an involved insurance company or from counsel representing the responsible third party insurer (defense counsel).
Related Questions
- Does CMS propose that a Medicare Set-aside be established in situations that involve both a workers compensation and a liability claim?
- Does CMS require that a Medicare Set-aside be established in situations that involve both a workers compensation and a liability claim?
- How is Medicare made aware of liability, no-fault, workers compensation situations?
