What is the difference between the PSC and the Affiliated Contractor (AC)?
The ACs are responsible for all other functions not specifically assigned to the PSC by the PSC Statement of Work, including claims processing, customer service, select pre- and all post-payment medical review functions, appeals, provider enrollment, financial accounting, Medicare Secondary Payer (MSP) and related provider education and beneficiary outreach activities. The ACs are also responsible for referring any suspected fraudulent or abusive situations or patterns by providers or beneficiaries in the Medicare program to the PSC.
