Common Contracts
7 similar Voluntary Data Sharing Agreement contracts
Voluntary Data Sharing Agreement (Non MSP Reporting Only)Voluntary Data Sharing Agreement • July 19th, 2024
The collection of this information is authorized by Section 1862(b) of the Social Security Act (codified at 42 U.S.C 1395y(b)) (see also 42, C.F.R. 411.24). The information collected will be used to identify and recover past conditional and mistaken Medicare primary payments and to prevent Medicare from making mistaken payments in the future for those Medicare Secondary Payer situations that continue to exist. The Privacy Act (5 U.S.C. 552a(b)), as amended, prohibits the disclosure of information maintained by the Centers for Medicare & Medicaid Services (CMS) in a system of records to third parties, unless the beneficiary provides a written request or explicit written consent/authorization for a party to receive such information. Where the beneficiary provides written consent/proof of representation, CMS will permit authorized parties to access requisite information.
Voluntary Data Sharing Agreement (Non MSP Reporting Only)Voluntary Data Sharing Agreement • March 11th, 2024
The collection of this information is authorized by Section 1862(b) of the Social Security Act (codified at 42 U.S.C 1395y(b)) (see also 42, C.F.R. 411.24). The information collected will be used to identify and recover past conditional and mistaken Medicare primary payments and to prevent Medicare from making mistaken payments in the future for those Medicare Secondary Payer situations that continue to exist. The Privacy Act (5 U.S.C. 552a(b)), as amended, prohibits the disclosure of information maintained by the Centers for Medicare & Medicaid Services (CMS) in a system of records to third parties, unless the beneficiary provides a written request or explicit written consent/authorization for a party to receive such information. Where the beneficiary provides written consent/proof of representation, CMS will permit authorized parties to access requisite information.
Voluntary Data Sharing Agreement (Non MSP Reporting Only)Voluntary Data Sharing Agreement • December 21st, 2023
The collection of this information is authorized by Section 1862(b) of the Social Security Act (codified at 42 U.S.C 1395y(b)) (see also 42, C.F.R. 411.24). The information collected will be used to identify and recover past conditional and mistaken Medicare primary payments and to prevent Medicare from making mistaken payments in the future for those Medicare Secondary Payer situations that continue to exist. The Privacy Act (5 U.S.C. 552a(b)), as amended, prohibits the disclosure of information maintained by the Centers for Medicare & Medicaid Services (CMS) in a system of records to third parties, unless the beneficiary provides a written request or explicit written consent/authorization for a party to receive such information. Where the beneficiary provides written consent/proof of representation, CMS will permit authorized parties to access requisite information.
Voluntary Data Sharing Agreement (Non MSP Reporting Only)Voluntary Data Sharing Agreement • March 1st, 2021
The collection of this information is authorized by Section 1862(b) of the Social Security Act (codified at 42 U.S.C 1395y(b)) (see also 42, C.F.R. 411.24). The information collected will be used to identify and recover past conditional and mistaken Medicare primary payments and to prevent Medicare from making mistaken payments in the future for those Medicare Secondary Payer situations that continue to exist. The Privacy Act (5 U.S.C. 552a(b)), as amended, prohibits the disclosure of information maintained by the Centers for Medicare & Medicaid Services (CMS) in a system of records to third parties, unless the beneficiary provides a written request or explicit written consent/authorization for a party to receive such information. Where the beneficiary provides written consent/proof of representation, CMS will permit authorized parties to access requisite information.
Voluntary Data Sharing Agreement (Non MSP Reporting Only)Voluntary Data Sharing Agreement • November 30th, 2020
The collection of this information is authorized by Section 1862(b) of the Social Security Act (codified at 42 U.S.C 1395y(b)) (see also 42, C.F.R. 411.24). The information collected will be used to identify and recover past conditional and mistaken Medicare primary payments and to prevent Medicare from making mistaken payments in the future for those Medicare Secondary Payer situations that continue to exist. The Privacy Act (5 U.S.C. 552a(b)), as amended, prohibits the disclosure of information maintained by the Centers for Medicare & Medicaid Services (CMS) in a system of records to third parties, unless the beneficiary provides a written request or explicit written consent/authorization for a party to receive such information. Where the beneficiary provides written consent/proof of representation, CMS will permit authorized parties to access requisite information.
Voluntary Data Sharing Agreement (Non MSP Reporting Only)Voluntary Data Sharing Agreement • May 5th, 2020
Date Version Reason for Change July 31, 2014 v1.0 Change Request (CR) 12148: Section C, Part VII: Using BASIS for Queries, and related references, has been changed to Beneficiary Lookup. March 1, 2016 v1.1 Change Request (CR) 18122: Contact information for the Centers for Medicare & Medicaid Services (CMS) has been updated. April 3, 2017 v1.2 Change Request (CR) 21073: As part of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, all Health Insurance Claim Number (HICN) fields have been renamed as “Medicare ID” and have been configured to accept either the HICN or the new Medicare Beneficiary Identifier (MBI). January 4, 2019 v1.3 Change Request (CR) 31232: The EDI Director has been updated for the data exchange escalation process.CR 29019 (April 2018): To clarify the process for how criteria are matched for beneficiaries. If you provide a Medicare ID (HICN or MBI), or an SSN, on either MSP or non-MSP input files, we will return the most current Medicare ID in the respon
Voluntary Data Sharing Agreement (Non MSP Reporting Only)Voluntary Data Sharing Agreement • February 19th, 2020
Date Version Reason for Change July 31, 2014 v1.0 Change Request (CR) 12148: Section C, Part VII: Using BASIS for Queries, and related references, has been changed to Beneficiary Lookup. March 1, 2016 v1.1 Change Request (CR) 18122: Contact information for the Centers for Medicare & Medicaid Services (CMS) has been updated. April 3, 2017 v1.2 Change Request (CR) 21073: As part of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, all Health Insurance Claim Number (HICN) fields have been renamed as “Medicare ID” and have been configured to accept either the HICN or the new Medicare Beneficiary Identifier (MBI). January 4, 2019 v1.3 Change Request (CR) 31232: The EDI Director has been updated for the data exchange escalation process.CR 29019 (April 2018): To clarify the process for how criteria are matched for beneficiaries. If you provide a Medicare ID (HICN or MBI), or an SSN, on either MSP or non-MSP input files, we will return the most current Medicare ID in the respon
