The Compromise Request page allows you to submit a request that the Medicare program grant a compromise for the amount you owe on a debt and to accept a lesser amount. A compromise request is an offer for Medicare to accept less than the amount Medicare is due. You can request a compromise after the case settles and funds have been paid.

When you submit a compromise request, you must state the reason why you believe a compromise should be granted and provide supporting information or documentation by entering a text explanation or uploading documentation (evidence).

All compromise requests are forwarded to the Centers for Medicare & Medicaid Services (CMS) Regional Offices (RO) for consideration. The Benefits Coordination & Recovery Center BCRC does not have the authority to approve or deny compromise requests.

To submit a compromise request:

1. Complete all required fields. Required fields are marked with a red asterisk (*).
2. Provide information to support your request:
   Click Upload Documentation to display the Compromise Request Documentation Upload page, and upload and attach supporting documentation; and/or
   Enter free-form text in the Reason for Compromise text area.
   
3. Click Continue to proceed to the Compromise Request Confirmation, or click Cancel to return to the Case Information page without saving any data.

Compromise Request Fields

Field	Description
Beneficiary Last Name	Displays the last name of the beneficiary on the case.
Case ID	Displays the Case ID of the current case.
Settlement Amount	Displays the existing Settlement Amount on the case, if available. This field is only available for post-settlement compromise requests.
Settlement Date	Displays the original date on which the case was settled.
Attorney Fees	If a demand letter has been sent: Displays the existing Attorney Fees on the case, if available. If a demand letter has NOT been sent: Enter the dollar amount of the attorney fees. Note: Click the What Are Attorney Fees? hyperlink to view examples of acceptable attorney fees.
Attorney Expenses/Procurement Costs	If a demand letter has been sent: Displays the existing attorney expenses and/or procurement costs on the case, if available. on the case, if available. If a demand letter has NOT been sent: Enter the dollar amount of the attorney expenses and/or procurement costs.
Total of Attorney Costs	Displays the sum of the Attorney Fees and Attorney Expenses/Procurement Costs fields. This field is only available for post-settlement compromise requests.
Attorney Fee Percentage	Displays the sum of the Attorney Fees and Attorney Expenses/Procurement Costs fields as a percentage of the Settlement Amount field. This field is only available for post-settlement compromise requests.
Fax Number	Enter a fax number (optional). Note: Decision letters can be faxed when a fax number is provided.
Reason for Compromise	Add free-form text to explain the reason for your compromise request. Notes have a 500-character maximum. If you do not upload documentation to support your request, you are required to enter a note in this field. Note: Click the What is this? hyperlink for additional information about the compromise review.

Notes on entering dollar amounts:

• Do not enter the "$".
• Decimals and commas are optional.
• Cents can be entered after a decimal. If cents are not entered, the MSPRP will store the amount with zero cents.
• For example, an amount of $10,000 could be entered as: 10000; 10,000; or 10,000.00.

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April 2025