Enhancements to the Medicare Secondary Payer Recovery Portal (MSPRP) have been announced by CMS that address electronic payment capabilities for identified Non-Group Health Plan (NGHP) conditional payment debt. CMS publicized the enhancements during a March 13, 2019, webinar.
This welcome enhancement, effective April 1, 2019, is more efficient and expedient, as opposed to the current process of sending reimbursement checks via the mail. Additionally, the payments have more visibility with tracking to ensure the payment is accurately applied. No additional user access or authorizations are required.
Overview of electronic payment process
The CMS presentation provided a detailed, visual overview of the electronic payment process, delineating page views and providing step-by-step instructions on how to access the process, identify the correct case ID number, select the payment information tab, and initiate the payment process. Once select data is made, the payment process transitions from the MSPRP to Pay.gov and a new Pay.gov screen will open in a new internet browser window. Upon completion of the transaction, users will be returned to the MSPRP.
Pay.gov payment portal
Pay.gov is a secure, online payment system administered and run by the Department of Treasury allowing individuals and businesses to make non-tax-related payments to the federal government. The MSPRP seamlessly interfaces with Pay.gov, allowing a variety of payment methods, is easy to use, and has no fee assessment. Acceptable payment methods include a direct payment from checking or savings accounts, debit card and PayPal®, which must only be linked to a bank account, not a credit card.
Throughout the payment process, the user is prompted for correct information and has the ability to cancel the transaction up to the point of final submission. Upon conclusion of the transaction, a Payment Status screen will display to alert the user of the payment status. Upon successful submission of the payment, a confirmation number, Case ID, Debtor name, and payment amount will auto populate on the Payment Status page. Upon continuing, the Case Information Page will provide detailed information. Should the payment status be declined, tracking details will populate, but the payment status will reflect $0.00.
Electronic Payment History Tab in the MSPRP
The Electronic Payment History Tab in the MSPRP is a new tab that will capture the payment history, including the payment date, payment method, account holder name, payment amount, payment status, and an updated Demand Status with correspondence date. The Electronic Payment History Tab will only display payments made electronically. Payments made successfully will be documented as “Accepted,” or if unsuccessful, “Declined.” Until the payment is final, the status will continue in a “Pending” state. Payment processing times generally take one to three business days for processing, depending on the institution. Should issues occur, additional resources may be contacted for resolution. CMS stressed the security of the process, speaking to the latest industry safety and encryption standards to protect PII (Personally Identifiable Information). The maximum debit payment allowed is $24,999.00 and for bank/PayPal payments, $99,999,999. Payments are still allowed via paper check.