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

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This document explains how to process a Notice of past benefits request, the purpose of an NTC and how to issue a new one. A Notice of past benefits request is different to a Notice of past benefits (NOPB). To issue a copy of an existing one go to Medicare Compensation Recovery.

Issue a new NTC

Expand table

Step

Action

1

Notice of past benefits request received

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

2

Evaluate screen

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:
  • 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

3

Medicare customer matches injured person named in the document

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 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 in Claim management - Medicare Compensation Recovery to create a new enquiry, then return to this table to select the correct button.

4

Duplicate correspondence

Is this duplicate correspondence?

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

5

Refusal to issue NTC

Is the action to refuse to issue an NTC?

  • Yes, select the button beside this question to issue a Notice of refusal (Z2806) letter. See Table 4 in Extensions, decisions and reviews - Medicare Compensation Recovery
  • No, go to Step 6

6

Claim updates required

Are updates required to details on the claim?

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

7

Request Notice to claimant (NTC)

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

8

Capture NTC details

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

9

Wait for extraction

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