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welcome to this tutorial on medicare secondary payer or msp conditional payments and tertiary claims the information given in this training is correct as of july 2021 the most current information contained in this presentation can be found on the meridian medicare website and the cms website at the links listed on this slide medicare may make pending case conditional payments to avoid imposing a financial hardship on you and the patient while awaiting a contested case decision medicare can make conditional payments for covered services even if it isnt a primary payer medicare may make conditional payments for covered services and liability including self-insurance no fault and workers comp situations if both of the following statements are true self-insurance no fault our worker comp holds payment liability and responsibility and self-insurance no fault or workers comp has not paid or will not pay promptly remember medicare can recover any conditional payments the benefits coordinatio