- Overpayment: How Should I Respond?
- Accelerated and Advanced Payment Program
- Complete a Voluntary Refund
- Bankruptcy Notifications
- Request an Immediate Recoupment
- Complete a Voluntary Refund
- Complete a Voluntary Refund
- How Should I Respond?
- Complete a Voluntary Refund
- Set Up an Extended Repayment Schedule
- Set Up an Extended Repayment Schedule
- Set Up an Extended Repayment Schedule
- MSP Post-Pay Overpayments
- Nettings/Offsets Across Organization Affiliations
- Payment Withholding Information
- Overpayment Rebuttal Process
- Overpayment Request
- MSP Post-Pay Adjustments
- MSP Post-Pay Adjustments
- MSP Post-Pay Adjustments
- Respond to a Demand Letter
- Refunds Due to Beneficiaries by Providers
- Request an Immediate Recoupment
- Set Up an Extended Repayment Schedule
- Submit a Quarterly Credit Balance Report
- Resources
Bankruptcy Notifications
Notify us if you file bankruptcy.
If you have filed a bankruptcy petition or are involved in a bankruptcy proceeding, National Government Services requests that you notify us immediately so that we can properly coordinate with the CMS and the DOJ to resolve Medicare financial obligations. Even if there are no outstanding payments at the time of the bankruptcy filing, this notification ensures that we handle your situation properly.
Notify us of the bankruptcy by email (j6bnk@anthem.com for J6 or jkbankruptcy@anthem.com for JK) providing:
- Name the bankruptcy is filed under
- District where the bankruptcy was filed
- Docket number
- National Provider Identifier (NPI)
You must also serve CMS and the DOJ with notice of bankruptcy under the applicable federal laws, rules and regulations. For further information, please visit the Bankruptcy web page on the CMS website.
Revised 6/8/2023
Resources
Form(s) you'll need:
Form(s) you'll need:
- Medicare Credit Balance Report Form and Instructions (CMS-838)
- Medicare Credit Balance Report (CMS-838) Excel Spreadsheet
- Jurisdiction 6 Part A Voluntary Refund Form
- Immediate Recoupment Request Form – Electronic/E-mail
- J6 Part A Immediate Recoupment Request Form
- J6 Applying for an Extended Repayment Schedule
- Jurisdiction 6 Medicare Part A MSP Overpayment Request Form
- Financial Contact Information Form
Form(s) you'll need:
- Medicare Credit Balance Report Form and Instructions (CMS-838)
- Medicare Credit Balance Report (CMS-838) Excel Spreadsheet
- Jurisdiction K Part A Voluntary Refund Form
- Immediate Recoupment Request Form – Electronic/E-mail
- JK Part A Immediate Recoupment Request Form
- JK Applying for an Extended Repayment Schedule
- Jurisdiction K Medicare Part A MSP Overpayment Request Form
- Financial Contact Information Form
Resources
Form(s) you'll need: