Submitting Refunds to National Government Services
National Government Services is receiving an influx of unsolicited voluntary refunds without proper documentation.
To facilitate prompt and accurate posting of unsolicited monies or voluntary refunds to NGS, we have a process and forms in place to help you. We ask that you use this form if you receive a Medicare payment in error and are returning the money via an unsolicited/voluntary refund to NGS.
The form should be completed in its entirety and accompany every unsolicited/voluntary refund so the check can be recorded and posted appropriately. Missing information on the form may result in a delay of processing and posting your refund(s).
High Volume Spreadsheet Instructions
If you are sending a refund check that involves multiple (25 or more), high volume of claims, please use our Large Various Adjustment Macro (LVAM) Form. Save the excel spreadsheet to a CD or USB drive and mail it with your check and form: Jurisdiction 6 Part B Voluntary Refund Form or Jurisdiction K Part B Voluntary Refund Form. The mailing lockbox address is located at the bottom of the Voluntary Refund Form.
Be sure to include the password if you are sending a protected CD or USB drive, or supply a contact person who can retrieve the password.
NOTE: Please do not use this form when making payment in response to an overpayment demand letter. A check with the overpayment demand letter is all you need in that situation.
Please visit our National Government Services Overpayment web page for complete details.
Posted 6/1/2021