Medicare

MMSEA Section 111 requires the reporting of claim information to the Centers for Medicare and Medicare Services (CMS) in cases where the injured party is a Medicare beneficary. Davis Risk Services, (www.davisrisk.com) claims management system will provide fields for data collection, transmission of quarterly claim files, retrieval and processing of response files and submissions of monthly Query files.

Set up of each RRE ID includes specifying DRS as an account designee for data transmissions, set up of the RRE ID in DRS’ claim management system, implementing the testing process required by CMS per RRE ID for both the Query and claim files and coordinating with the client to designate all of the claims that the client wishes to query for eligibility in an initial Query file.

Advertisement