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A Note to Our Members: Account Security
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Chapter 1: MSP Background and Overview

In 1980, Congress enacted the first of a series of provisions that made Medicare the secondary payer to certain additional primary plans.

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Chapter 3: MSP Provider, Physician, and Supplier Billing Requirements

Contractors are required in professional and public relations activities to inform providers, physicians, other suppliers, and beneficiaries about the MSP provisions and that claims for services to beneficiaries for which Medicare is the secondary payer must be directed first to the primary plan where there is primary coverage for the services involved. The Medicare law…

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Chapter 2: MSP Provisions

10 – Medicare Secondary Payer Provisions for Working Aged Individuals 10.1 – Individuals Subject to Limitations on Payment 10.2 – Individuals Not Subject to the Limitation on Payment 10.3 – The 20-or-More Employees Requirement 10.4 – Working Aged Exception for Small Employers in Multi-Employer Group Health Plans (GHPs) 20 – Medicare Secondary Payer Provisions for…

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