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Benefits Coordination & Recovery Center (BCRC)

Benefits Coordination & Recovery Center (BCRC)

The company that acts on behalf of Medicare to collect and manage information on other types of insurance or coverage that a person with Medicare may have and determine whether the coverage pays before or after Medicare. This company also acts on behalf of Medicare to obtain repayment when Medicare makes a conditional payment, and the other payer is determined to be primary.

The company that acts on behalf of Medicare to collect and manage information on other types of insurance or coverage that a person with Medicare may have and determine whether the coverage pays before or after Medicare. This company also acts on behalf of Medicare to obtain repayment when Medicare makes a conditional payment, and the other payer is determined to be primary.

  • BCRC is a division of the CMS that is responsible for coordinating the payment of benefits for Medicare beneficiaries who are also covered by other insurance plans. This may include private insurance plans, employer-sponsored plans, or state-sponsored plans such as Medicaid.
  • The BCRC is responsible for ensuring that Medicare is the secondary payer for beneficiaries who have other insurance coverage, and that the other insurance plan pays its share of the beneficiary’s medical bills before Medicare pays its share. The BCRC also works to recover any overpayments that may have been made by Medicare on behalf of a beneficiary.
  • If a Medicare beneficiary has other insurance coverage, it is important to know that they are required to notify Medicare of their other insurance. The beneficiary can do this by completing a Medicare Secondary Payer (MSP) questionnaire and submitting it to the BCRC. This will help the BCRC determine how their benefits should be coordinated and will ensure that they receive the appropriate level of coverage.

Understanding the role of BCRC is crucial for Medicare beneficiaries with additional insurance coverage. It ensures proper coordination of benefits, determines primary and secondary payer responsibilities, and helps recover any overpayments made by Medicare.

Eager to learn more about how BCRC coordinates benefits for Medicare beneficiaries? Download our comprehensive E-book to explore BCRC's role in managing insurance information, coordinating payments, and ensuring efficient healthcare coverage for beneficiaries.

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