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Electronic Correspondence Referral System (ECRS) Restoration of Patient Relationship Code 18, Update to Medicare Secondary Payer (MSP) Inquiry Transactions for Deceased Beneficiaries, and Clarification of Existing ECRS User Guide Policy Based on the…

The purpose of this Change Request (CR) is to inform the Medicare Administrative Contractors (MACs) of various modifications to the Electronic Correspondence Referral System (ECRS) Web User Guide. Changes made cover restoring the usage of Patient Relationship Code (18) defined as Parent; clarifying when a Medicare Secondary Payer (MSP) inquiry transaction for a deceased beneficiary may be added; and clarifying the usage of specific reason and action codes, hierarchy, MSP Type G (Disabled), MSP Type B (End Stage Renal Disease (ESRD), and matching criteria for inquiries and transactions.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 21, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.