Commercial Repayment Center

E897049

The Commercial Repayment Center is a Medicare contractor responsible for identifying and recovering Medicare overpayments when another insurer should have been the primary payer.

All labels observed (1)

Label Occurrences
Commercial Repayment Center canonical 1

How this entity was disambiguated

Statements (45)

Predicate Object
instanceOf Medicare contractor ⓘ
government contractor ⓘ
healthcare payment recovery organization ⓘ
benefits Medicare Trust Fund ⓘ
federal healthcare cost containment ⓘ
communicationWith employers regarding coverage responsibility ⓘ
insurers regarding repayment obligations ⓘ
contractedBy Centers for Medicare & Medicaid Services ⓘ
country United States ⓘ
doesNotHandle Medicare Advantage plan overpayments ⓘ
Part D prescription drug plan overpayments ⓘ
beneficiary-initiated premium refunds ⓘ
employer Centers for Medicare & Medicaid Services ⓘ
focusesOn situations where a group health plan is primary ⓘ
situations where liability insurance is primary ⓘ
situations where no-fault insurance is primary ⓘ
situations where workers’ compensation is primary ⓘ
goal protect Medicare Trust Funds ⓘ
handles commercial insurance-related Medicare overpayments ⓘ
hasAbbreviation CRC ⓘ
hasRole identifying Medicare overpayments ⓘ
recovering Medicare overpayments ⓘ
jurisdiction Medicare program ⓘ
linked to: Medicare
monitors improper Medicare primary payments ⓘ
operatesInDomain Medicare Secondary Payer ⓘ
health insurance coordination of benefits ⓘ
outputs demand letters for repayment ⓘ
partOf Medicare program integrity efforts ⓘ
paymentSource Medicare fee-for-service claims ⓘ
performs post-payment review for primary payer errors ⓘ
primaryFunction determine when another insurer should have been primary payer ⓘ
pursue recovery of conditional payments ⓘ
regulatoryBasis Medicare Secondary Payer statute ⓘ
federal Medicare regulations ⓘ
relatedTo Benefits Coordination & Recovery Center ⓘ
Medicare Secondary Payer Recovery Contractor ⓘ
scope nationwide operations in the United States ⓘ
targets employers ⓘ
insurers ⓘ
other entities responsible as primary payer ⓘ
typeOfOverpayment conditional payments made by Medicare ⓘ
mistaken primary payments by Medicare ⓘ
usesProcess claims review to identify overpayments ⓘ
data matching to identify primary payers ⓘ
worksUnder contract with CMS ⓘ

How these facts were elicited

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medicare secondary payer rules → enforcedBy → Commercial Repayment Center ⓘ