Commercial Repayment Center

E897049

The Commercial Repayment Center is a Medicare contractor responsible for identifying and recovering Medicare overpayments when another insurer should have been the primary payer.

All labels observed (1)

Label Occurrences
Commercial Repayment Center canonical 1

How this entity was disambiguated

Statements (45)

Predicate Object
instanceOf Medicare contractor
government contractor
healthcare payment recovery organization
benefits Medicare Trust Fund NERFINISHED
federal healthcare cost containment
communicationWith employers regarding coverage responsibility
insurers regarding repayment obligations
contractedBy Centers for Medicare & Medicaid Services NERFINISHED
country United States of America
surface form: United States
doesNotHandle Medicare Advantage plan overpayments
Part D prescription drug plan overpayments
beneficiary-initiated premium refunds
employer Centers for Medicare & Medicaid Services NERFINISHED
focusesOn situations where a group health plan is primary
situations where liability insurance is primary
situations where no-fault insurance is primary
situations where workers’ compensation is primary
goal protect Medicare Trust Funds
handles commercial insurance-related Medicare overpayments
hasAbbreviation CRC NERFINISHED
hasRole identifying Medicare overpayments
recovering Medicare overpayments
jurisdiction Medicare program NERFINISHED
monitors improper Medicare primary payments
operatesInDomain Medicare Secondary Payer NERFINISHED
health insurance coordination of benefits
outputs demand letters for repayment
partOf Medicare program integrity efforts
paymentSource Medicare fee-for-service claims
performs post-payment review for primary payer errors
primaryFunction determine when another insurer should have been primary payer
pursue recovery of conditional payments
regulatoryBasis Medicare Secondary Payer statute NERFINISHED
federal Medicare regulations
relatedTo Benefits Coordination & Recovery Center NERFINISHED
Medicare Secondary Payer Recovery Contractor NERFINISHED
scope nationwide operations in the United States
targets employers
insurers
other entities responsible as primary payer
typeOfOverpayment conditional payments made by Medicare GENERATED
mistaken primary payments by Medicare GENERATED
usesProcess claims review to identify overpayments
data matching to identify primary payers
worksUnder contract with CMS

How these facts were elicited

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medicare secondary payer rules enforcedBy Commercial Repayment Center