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Reporting is accomplished by either the submission of an electronic file of liability, no-fault, and workers' compensation claim information, where the injured party is a Medicare beneficiary, or by entry of this claim information directly into a secure Web portal, depending on the volume of data to be submitted.
The Centers for Medicare & Medicaid Services, CMS, is part of the Department of Health and Human Services (HHS).
Section 111 authorizes CMS and GHP RREs to electronically exchange health insurance benefit entitlement information. On a quarterly basis, an RRE must submit a file of information about employees and dependents who are Medicare beneficiaries with employer GHP coverage that may be primary to Medicare.
Guidance for non-group health plans (NGHPs), which include liability insurers (including self-insured entities), no-fault insurers, and workers' compensation entities. Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: June 30, 2020.
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