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In addition, continue to return inappropriate Medicare payments to the local Medicare claims office; checks should not be sent to the BCRC.
Questions regarding Medicare claim or service denials and adjustments should continue to be directed to your local Medicare claims office.
This also offers a centralized, one-stop customer service approach for all MSP-related inquiries, including those seeking general MSP information.
The BCRC provides customer service to all callers from any source, including, but not limited to, beneficiaries, attorneys/other beneficiary representatives, employers, insurers, providers, and suppliers.
In order to better serve you, please have the following information available when you call: The Coordination of Benefits Agreement (COBA) Program establishes a nationally standard contract between CMS and other health insurance organizations that defines the criteria for transmitting enrollee eligibility data and Medicare adjudicated claim data.
CMS has provided a COBA Trading Partners customer service contact list as an avenue for providers to contact the trading partners.
The COBA Trading Partners document in the Download section below provides a list of automatic crossover trading partners in production, their identification number, and customer contact name and number.
For additional information, click the COBA Trading Partners link.
In such situations, the other health plan may have the legal obligation to meet the beneficiary's health care expenses first before Medicare.