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MMSEA Section 111 Mandatory Insurer Reporting

Compliance with the Medicare Secondary Payer (MSP) Act and the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) is critical. Under these statutes, Responsible Reporting Entities (RRE) are required to determine the Medicare enrollment status for claimants who receive a settlement, judgment, award, or other payment from liability insurance (including self-insurance), no-fault insurance, or workers’ compensation insurance. The Non-Group Health Plan (NGHP), also known as the RRE, must report claim information to Medicare, if the claimant is Medicare enrolled. Failing to provide this information can lead to severe monetary penalties. Epiq serves as the MMSEA Mandatory Insurer Reporting Agent for companies of all sizes. Our proprietary web-based reporting solution allows clients to securely report claims as required under the MMSEA, which will ensure compliance and avoid penalties.

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