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The Case Listing shows information for cases that you have previously requested access to using the New Case Request page and any cases that you have reported using the Report A Case action.It allows you to search for and/or remove a case from display. The case ID displayed will either be the Benefits Coordination & Recovery Center "BCRC Case ID" (BCRC insurer cases and all beneficiary cases) or the Commercial Repayment Center "CRC Recovery ID" (CRC insurer cases).
If you are approaching settlement on a case that is not yet available on the MSPRP and you wish to initiate the Final Conditional Payment process, you can add this case using the Report A Case link found on the MSPRP Welcome! page or contact the BCRC by phone at (855) 798-2627, or by mail at: NGHP, P.O. Box 138832, Oklahoma City, OK 73113.
To remove a case from displaying on your Case Listing page, select the case(s) you wish to remove and click the Remove Case(s) button. This action will only remove the cases from displaying on this page. The selected cases will still be associated with your account.
You may choose to remove a case when there are no more actions you can take on it and you no longer wish to see it on this page. Some reasons for removing a case are:
- Case has been closed
- Case has been approved for the Fixed Percentage Option
- Case has been approved for the Self-Calculated Conditional Payment Amount
A case that has been removed is not deleted. However, it will not display again unless you choose to re-associate it to your account by requesting access to it again. Please see the New Case Request page for more information on how to request case access.
To close a case associated to your account, select the case(s) you wish to close and click the Close Case(s) button. Only cases that have been reported via the MSPRP Report A Case process that are not yet demanded can be closed. Note: A case should only be closed if it was reported in error as the case will be closed and recovery activities will cease.
If you are an Account Manager (AM), this page includes cases that you or your Account Designees (ADs) successfully requested access to while working under your account ID. This account ID is listed at the top of the page. Note: If the account is associated with at least one address that has opted in to Go Paperless, a green leaf icon appears next to the account ID. To get information on your account's paperless addresses, please contact your Section 111 file submitter or reporting agent. If you are an AD, this list includes cases that you successfully requested access to as well as cases that your AM has granted you access to. Case information will be listed on the bottom half of this page under the Cases heading.
Perform a Search
The top half of the Case Listing page allows you to locate a specific case(s) using the Search button instead of scrolling through the case listing to find the desired case. To search for a specific case(s), enter data in any of the following fields: Case ID, Medicare ID (Health Insurance Claim Number [HICN] or Medicare Beneficiary Identifier [MBI]), Beneficiary Social Security Number (SSN), or Beneficiary Last Name, and then click Search. Case results are sorted in ascending order by case ID.
Table 1: Search Criteria
| Field | Description |
| Case ID | The unique identifier assigned by the Centers for Medicare &
Medicaid Services (CMS) to the case. The case ID is located on any
case specific correspondence received from Medicare such as the Rights
and Responsibilities Letter or Conditional Payment Letter. The case ID
is a 15-digit number in ##### ##### ##### format. If the case ID is
available, it should be entered to help ensure your case is found. Notes: BCRC case IDs begin with the number 2, and CRC case IDs begin with the number 3. To make your search more effective, you can search for variations of the case ID using the percent sign (%) as a wildcard symbol. When used, the percent sign (%) replaces one (or more than one) number(s) at the end of the case ID. Only one percent sign (%) can be entered and it must be placed at the end of the case ID search term. When using the wildcard symbol in the Case ID field, a minimum of 5 characters must be entered (4 numbers plus the percent sign). For example, to locate all recovery cases where the case ID begins with the numbers 2011, enter 2011% in the Case ID field and click Search. The MSPRP will retrieve all recovery case records associated to your account ID with a case ID that begins with 2011. You can further limit the number of cases returned by using the wildcard symbol in both the Case ID and the Beneficiary Last Name fields. The wildcard symbol can only be used in these two fields. |
| Medicare ID | The Health Insurance Claim Number (HICN) or Medicare Beneficiary Identifier (MBI), of the beneficiary associated to the case. If the Medicare ID is entered without entering the case ID and the beneficiary has multiple cases on the MSPRP, multiple case IDs will be returned (i.e., displayed on the Case Listing page). |
| Beneficiary SSN | The Social Security Number of the beneficiary associated to
the case. If the SSN is entered without a case ID and the beneficiary has multiple cases on the MSPRP, multiple case IDs will be returned (i.e., displayed on the Case Listing page). |
| Beneficiary Last Name | The surname of the beneficiary associated to the case. If
the beneficiary's last name is entered without entering the case ID
and the beneficiary has multiple cases on the MSPRP, multiple case
IDs will be returned (i.e., displayed on the Case Listing
page). Note: To make your search more effective, you can search for variations of the beneficiary last name using the percent sign (%) as a wildcard symbol. When used, the percent sign (%) replaces one (or more than one) character at the end of the beneficiary last name. Only one percent sign (%) can be entered and it must be placed at the end of the beneficiary last name search term. When using the wildcard symbol in the Beneficiary Last Name field, a minimum of 2 characters must be entered (one character plus the percent sign). For example, to locate all recovery cases where the beneficiary last name begins with SM (such as Smith, Smithson, Small), enter SM% in the Beneficiary Last Name field and click Search. The MSPRP will retrieve all recovery case records associated to your account ID with a beneficiary last name that begins with SM. You can further limit the number of cases returned by using the wildcard in both the Case ID and the Beneficiary Last Name fields. The wildcard symbol can only be used in these two fields. |
If the MSPRP locates more than 1,000 active (i.e., not removed) recovery cases matching the search criteria entered, the following message will display "Results have exceeded the 1,000 row maximum. Refine the search criteria to limit the results."
If the MSPRP is unable to locate the case based on the data entered, it will display the following message: "No Matching Case Records Found based on the information provided." Check your search criteria and try again.
If the MSPRP is able to locate the case(s) based on the search criteria entered, the case ID, bene last name, Medicare ID (HICN or MBI), and bene date of birth for the matching case(s) will be listed on the bottom half of the page under the Cases heading. Click the Case ID for the desired case. The MSPRP will display the Case Information page for the selected case.
View Case Information/Remove a Case(s)
The bottom half of the Case Listing page allows you to view case details for a specific case, remove a case from the Case Listing page, and also to manage case access (AMs only).
The following case information is displayed for cases that met your search criteria or are associated to your account.
Table 2: Case Information Displayed
| Field | Description |
| Select | Checkbox that indicates whether the case will/will not be
removed from the Case Listing page
|
| Case ID | The case ID for the recovery case. Click to view case
details on the Case Information page. Once the case ID is
clicked, the MSPRP will look-up the current authorization level of
the account ID. Appropriate MSPRP functionality for the case will be
enabled based on the authorization level and authorization status. Notes: An asterisk indicates that the case was reported using the MSPRP Report A Case process. The data in this column will be displayed in ascending order by default. The sort order can be changed by clicking the arrow in the column heading. Click the arrow once to change the sort order to descending. Click the arrow again to sort in ascending order. This link is unavailable during nightly system processing cycles. |
| Bene Last Name | The surname of the beneficiary who is associated to the
case. Note: The sort order can be changed by clicking the arrow in the column heading. Click the arrow once to change the sort order to descending. Click the arrow again to sort in ascending order. |
| Medicare ID/SSN | The HICN or MBI/Social Security Number (SSN) of the beneficiary associated to the case. The number that will display (HICN/MBI or SSN) is the one that was entered on the Request Case Access page when the user first requested access to the case on the MSPRP. The first five positions of the HICN or SSN are masked (hidden from view) with asterisks, unless you are the beneficiary, or you have logged in using the multi-factor authentication. |
| Bene Date of Birth | The date of birth of the beneficiary who is associated to the case. |
| Case Status | The current state of the case in the MSPRP system. For BCRC cases, it can be any of the following:
|
| Authorization Level |
The type of authorization (Beneficiary Proof of Representation (POR), Beneficiary Consent to Release (CTR), or Recovery Agent Authorization) that was submitted to date that has the highest authorization level associated to the user who is currently logged in. If multiple authorizations have been submitted for the case, the authorization type and authorization status with the highest authorization level will display on this page. |
| Authorization Status |
The status of the authorization with the highest authorization level that was submitted to date associated to the user who is currently logged in. It can be:
Note: Only one authorization type and authorization status will appear on this page. To view all submitted authorizations associated to the user who is currently logged in, select the View/Request Authorizations (i.e., Beneficiary POR, Beneficiary CTR, or Recovery Agent Authorization) action and then click Continue. |
| Case Access | A link that, when clicked, will display the Manage Case Access page. The Manage Case Access page allows the AM to grant or revoke an AD's access to the specific case. |
Click Cancel to return to the Welcome! page.
Click Remove Case(s) to remove the selected case(s) from the Claims Listing page.
Note: The Remove Case(s) button will be disabled if there are no cases displayed. Once you have clicked the button, the Remove Cases Verification page displays, which allows you to confirm the removal of the selected cases.
Click Close Case(s) to close the selected case(s) from the Claims Listing page.
Note: The Close Case(s) button will be displayed and enabled if there is at least one case that is associated with the account that has not yet been demanded or closed and was created via the MSPRP Report A Case process and when the user is the beneficiary or their authorized representative. Once you have clicked the button, the Close Case Verification page displays, which allows you to confirm your request to close a case(s).
January 2024