In California, any payments that are made by Medicare where there is third party liability and the injured victim recovered damages from a settlement or judgment, a lien is automatically created by statute that allows Medicare to get reimbursed for all medical expenses paid by Medicare. In California, all personal injury claims that have payments made by Medicare must be reported to Medicare.

First Step: Submitting a Claim Online

Claims for personal injury liens can be reported by phone with a customer representative with the Centers for Medicare & Medicaid Services at (855) 798-2627. The claim can also be reported by fax to (405) 869-3307 or mail by mailing the required information to:

Medicare - Data Collections

P.O. Box 138897

Oklahoma City, OK 73113-8897

Second Step: Following Up With Additional Information

Upon filing the claim, a rights and responsibilities will be mailed. When the claim has settled, use the same methods to update the file with the additional information regarding the settlement. Use the form from https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Beneficiary-Services/Medicares-Recovery-Process/Downloads/Final-Settlement-Detail.pdf to demand the final payment amount.

Third Step: How Do I Pay A Lien Received From Medi-Cal?

Payments can be made via check and mailed to:

NGHIP

P.O. Box 138832

Oklahoma City, OK 73113-8897

What Information Must Be Included When Reporting A Claim To Medicare?

1. The date of the incident;
2. The Medcare member’s identification number;
3. The contact information of the liable party;
4. The contact information of the claims administrative of the liable party; and
5. The contact information of any defense counsel representing the liable party.
   

Consult with an attorney

Liens can be negotiated. It is important to understand the extent of your damages and what can be recovered based on the specific facts surrounding the claim. It is just as important to consult an attorney in your state immediately following an incident to better understand and protect your legal rights. Do not wait, never hesitate, and reach out to a professional who is ready to serve your needs.