Medicare Secondary Payer Recovery Portal

Medicare Secondary Payer Recovery Portal

The Medicare Secondary Payer Recovery Portal (MSPRP) is a web-based tool designed to assist in the resolution of liability insurance, no-fault insurance, and workers' compensation Medicare recovery cases. The MSPRP gives you the ability to access and update certain case specific information online.

CMS has made available a curriculum of computer-based training (CBT) courses for the MSPRP. These courses provide in-depth training on use of the MSPRP. You can access or download these CBTs from the Dynamic List on this page. Please see the MSPRP Curriculum for a complete listing of the courses and their descriptions. If you have any questions or feedback on this material, please click the Training Feedback link.

MSPRP Features & Benefits:

The MSPRP provides you with the following features and related benefits:

1. Submit Beneficiary Proof of Representation, Beneficiary Consent to Release or Insurer Letter of Authority documentation

2. Request conditional payment information:

  • Obtain the current conditional payment amount
  • Request a printed or electronic copy of the current conditional payment letter
  • Request a final conditional payment amount for a case that is approaching settlement

3. Dispute claims included in the conditional payment amount:

  • View claim details for the claims associated to the case
  • Dispute unrelated claims and upload documentation to support the claim dispute

4. Initiate the demand letter:

  • If you agree with the Conditional Payment Notice amount, you may initiate a demand letter earlier than the default 30-day time period.

5. View the status of correspondence that has been sent and received for a case

6. Submit case settlement information:

  • Input settlement information and upload a copy of the settlement documentation

7. Submit waiver, compromise and redetermination requests:

  • View details of the request: received date, decision and decision date

8. Multi-Factor Authorization (MFA) and Identity Proofing:

  • Request access to view unmasked claims data. Individuals requesting this access must complete the ID Proofing and MFA process.

Note: Only those actions that are applicable to the case will be available.

9. Self-Report A Case

10. Make an Electronic Payment (ePay):

  • Make payments via Pay.gov using ACH (banking account information), debit card, and PayPal.  For instructions on how to initiate an electronic payment, access the computer based training module, "Electronic Payment" - Course ID 21, located in the Dynamic List on this page.

How to Access the MSPRP

Beneficiaries do not need to register for an account on the MSPRP.  Beneficiaries can access the MSPRP through the Medicare.Gov Web site using their established Login ID and Password for that site. The Web site can be accessed from the link: www.Medicare.gov

Insurers and attorneys will access the MSPRP using the following MSPRP Application link: https://www.cob.cms.hhs.gov/MSPRP/. Please note that registration must occur before access to the MSPRP is permitted. Additionally, you must complete the Identity Proofing and Multi-Factor Authentication process on the MSPRP if you wish to request access to unmasked claims data. See the MSPRP User Guide and the Remote Identity Proofing (RIDP) - Multifactor Authentication (MFA) on the Medicare Secondary Payer Recovery Portal (MSPRP) Frequently Asked Questions. The FAQ is available under the ‘Reference Material’ menu option of the MSPRP application.

MSPRP User Guide

The MSPRP User Guide was written to help you understand how to use the MSPRP. The User Guide is available under the ‘Reference Material’ menu option of the MSPRP application.

Assistance with MSPRP Issues

For problems related to registration and other technical issues, please contact the Benefits Coordination & Recovery Center (BCRC) EDI Department at 1-646-458-6740.

For questions related to a case or why an MSPRP option is unavailable (i.e., grayed out), please contact the BCRC at 1-855-798-2627.

ID Title Type Description
01
MSPRP Curriculum
PDF
A printable listing of the courses and their descriptions for the MSPRP CBT Curriculum.
02
Benefits of Using the MSPRP
PDF
This course explains the benefits of using the MSPRP and informs users what they will need to use the MSPRP.
03
Application Overview
PDF
This course will provide an overview of the MSPRP including general navigation guidelines. It will also include information on how to search for a case and the Case Information page.
04
Application Overview - Beneficiary
PDF
This course will provide an overview of the MSPRP including general navigation guidelines. It will also include information on how to search for a case and the Case Information page.
05
Corporate Registration
PDF
This course provides instruction on how to complete a New Registration on the MSPRP for a corporate account type and the steps that must be followed once the registration has been submitted. Note: This module is intended for those entities who will regist...
06
Corporate Account Setup
PDF
This course will explain the Account Setup process for a Corporate account. It will describe the role of the Account Manager and explain how the Account Manager will complete the Account Setup and register themselves as the Account Manager. It will conclu...
07
Representative Registration
PDF
This course will provide instruction on how to complete a representative registration on the MSPRP and the steps to follow once the registration has been submitted. Note: This module is intended for those entities who will register for a representative ac...
08
Representative Account Setup
PDF
This course will explain the Account Setup process for a Representative account. It will describe the role of the Account Manager and explain how the Account Manager will complete the Account Setup and register themselves as the Account Manager. It will c...
09
Requesting Authorization
PDF
This course will describe the Consent to Release (CTR) Authorization and Proof of Representation (POR) Authorization, explain how and when to submit these documents and clarify what to expect once a document has been submitted.
10
Conditional Payments
PDF
This course will provide background information on how claims are selected for a case. It will clarify how and why a user would request an update to the conditional payment amount and/or request a copy of the Conditional Payment letter.
11
Conditional Payments - Beneficiary
PDF
This course will provide background information on how claims are selected for a case. It will clarify how and why a user would request an update to the conditional payment amount and/or request a copy of the Conditional Payment letter.
12
Disputing a Claim
PDF
This course will explain the process for disputing a claim that is not related to the case and what to expect once a claim has been submitted for dispute.
13
Disputing a Claim - Beneficiary
PDF
This course will explain the process for disputing a claim that is not related to the case and what to expect once a claim has been submitted for dispute.
14
Submitting Settlement Information
PDF
This course will explain how, when and why settlement information is to be entered on the MSPRP, what to expect once settlement information has been submitted, and the requirements for selecting the Fixed Percentage Option.
15
Account Manager Functions
PDF
This course will explain the role of the Account Manager and how they will manage the account profile and perform designee maintenance.
16
Account Designee Access
PDF
This course will describe the basic registration process you will follow to become an Account Designee, (i.e., how you will set up your Login ID and Password for the first time), and the access privileges you will receive once you are registered.
17
User Maintenance
PDF
This course will describe the following Account Setting functions: update personal information, change password and view account activity.
18
Mult-Factor Authentication
PDF
This course will explain the steps a non-beneficiary user must take to be able to view unmasked case information in the MSPRP.
19
Final Conditional Payment Process
PDF
This course is intended for MSPRP authorized users to learn how to notify CMS that a specific case is approaching settlement and request that the case be a part of the Final Conditional Payment (Final CP) process.
20
Self-Reporting
PDF
This course will explain the steps users, beneficiaries and designees must take to self-report new cases in the MSPRP.
21
Electronic Payment
PDF
This course will explain how MSPRP users can initiate payment. Users will be directed to Pay.gov with the payment amounts that can be paid using direct debit, debit card, and PayPal.
Page Last Modified:
11/08/2023 10:39 AM