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

Go to the Process page below if the NTC is required as a result of a new registration or, receipt of a:

• Notice of judgment settlement, or
• Notice of reimbursement arrangement

Go to the Process page of:

• Search for or update an existing claim or register a new claim - Medicare Compensation Recovery, or
• Notice of judgment or settlement (NOJS) - Medicare Compensation Recovery, or
• Notice of reimbursement arrangement (NORA) - Medicare Compensation Recovery
• Select Notice of past benefits request as the document type from Please choose the document type dropdown menu
• Select Does the Medicare customer selected match the injured person named in the document?
• Yes, proceed through steps below
• No, select Check Medicare and search for the correct customer
  Note: go to Process Correspondence - Medicare Compensation Recovery for Steps on how to verify customer details
• Select Does the claim selected match the details in the document?
• Select Are the documents received incomplete?
• Yes, confirm details match and select beside the relevant claim, select Continue
• No, select Continue and go to Claim Management: Search, update or register to register a new claim
• Only select if documents are incomplete and a letter is required to be issued. Go to Process Correspondence - Medicare Compensation Recovery
• Select Is update to existing details required?
• Only required if updates are to be made. Go to Search for or update an existing claim or register a new claim
• Select Continue

• Enter the date the valid NOPB request was received
• Dates from and to will auto-populate based on claim details previously entered
• Date from is the date of injury or the start date for a period of liability for a reimbursement arrangement
• Date to is today’s date, or date of judgment/settlement/reimbursement arrangement, whichever is earlier
• Check Date from and Date to are correct, update using the calendar dropdown menus if necessary
• Select Submit

A message displays asking Are you sure you want to issue a new notice to claimant?

• Yes,
• select Yes,
• go to Step 4
• No, select Cancel, it will return to Capture NTC details. Go to Step 2 to correct the NTC dates

A screen displays advising that the data is awaiting extraction. Once MCRS has retrieved the Medicare history data, the Z2800 Identify related Medicare history care services letter with the Z2801 Medicare history, care services statement and declaration 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
• the length of the statement