Medicare Secondary Payer Insurer Requirements

Medicare Secondary Payer Mandatory Insurer Reporting Requirements


The Medicare Secondary Payer Mandatory Insurer Reporting Requirements are from Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (P.L. 110-173 4s U.S.C. § 1395y (b)(7)).

Requirements


Requires the collection and reporting of the Social Security Number (or Medicare Health Insurance Claim Number "HICN") from active covered individuals.

Active covered individuals are:
  • Employees and covered family members age 45 and older,
  • Employees and covered dependents who receive kidney dialysis or have had a kidney transplant, and
  • Any covered individual that the plan sponsor knows to be entitled to Medicare.