Notice of past benefits request and Notice to claimant (NTC) - Medicare Compensation Recovery 011-15030050

Is the NTC required as a result of a new registration, receipt of a Notice of judgment settlement, or Notice of reimbursement arrangement?

• Yes, if the request is received in relation to a:
• Medicare Compensation Recovery Notice of past benefits request (MO026) form, see Process page in Claim management - Medicare Compensation Recovery, or
• Medicare Compensation Recovery Notice of Judgment or Settlement (MO022) form, see Process page in Notice of judgment or settlement (NOJS) - Medicare Compensation Recovery , or
• Notice of reimbursement or on a Medicare Compensation Recovery Notice of reimbursement arrangement (MO027) form, see Process page in Notice of reimbursement arrangement (NORA) - Medicare Compensation Recovery
• then go to Step 4
• No, go to Step 2

From the Document type dropdown menu, select Notice of past benefits request

Does the Medicare customer selected match the injured person named in the document?

• Yes,
• select the button beside this question
• go to Step 3
• No, select the Check Medicare link or use the back button located at the bottom left corner of the Evaluate screen to search for the correct person

When Yes is selected for the correct person additional buttons will appear.

Are the documents received incomplete?

• Yes, select the button beside this question to issue a We are unable to process the notice of past benefits request/third party authority/ notice of judgment or settlement/reimbursement arrangement (Z2802) letter.
  See Table 8 on the Process page in Process Correspondence - Medicare Compensation Recovery
• No, go to Step 4

Note: if more than one selection is needed from Steps 2 - 5, a new enquiry will need to be created to enable 2 actions to be completed. For example, a Z2802 letter is required as well as an update to the claim details. Create a separate enquiry to complete the 2 actions. See Table 4 on Process page in Claim management - Medicare Compensation Recovery to create a new enquiry, then return to this table to select the correct button.

Is this duplicate correspondence?

• Yes, Select the button beside this question.
  See Table 4 on the Process page in Process Correspondence - Medicare Compensation Recovery
• No, go to Step 5

Are updates required to details on the claim?

• Yes, select the button beside Is update to existing details required?
  See Table 4 on the Process page in Claim management - Medicare Compensation Recovery
• No, select Continue, go to Step 7

A message displays asking Are you sure you want to request a Notice to claimant?

• Select Yes
• Go to Step 8

The Capture NTC details screens displays with three mandatory date fields:

• NOPB request received date - enter the date of document receipt
• Date from - will be pre-populated with date of injury
• Date to - will be pre-populated with date of processing (or date of judgment/settlement where MO022 processing has occurred)
• Confirm correct dates and select Submit
• A message displays Are you sure you want to issue a new Notice to claimant?
• Select Yes
• Go to Step 9

A screen displays advising that the data is waiting extraction. Once MCRS has retrieved the Medicare history data, the Identify related Medicare history care services (Z2800) letter with the Medicare history and care services statement (Z2801) issues automatically.

Note: the duration of the extraction process varies from approximately 24 hours to 14 days or more, depending on the:

• period since the injury occurred, and
• length of the statement

The case will show Pending-NTC Generation status and can be viewed on RCA screen. See Medicare Compensation Recovery System (MCRS) for case statuses