Billing in Medicare Secondary Payer (MSP) Liability Insurance Situations
This article is based on information received from Medicare beneficiaries, their legal counsel
and other entities that assist these individuals, indicating that providers, physicians, and other
suppliers that elect to seek payment from the beneficiary’s liability insurance claim instead of
submitting the claim for items or services to Medicare have not generally billed in accordance
with the instructions provided or referenced in this article. The FAQs in this article are intended
to remind providers, physicians, and other suppliers of the fundamental guidance governing
billing where liability insurance (including self-insurance) is involved.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 19, 2017
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.