Resources

Resources

• Medicare Part B Overpayments Tip Sheet

Form(s) you'll need:

• Financial Contact Submissions
• All Forms

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

• Medicare Part B Overpayments Tip Sheet

Form(s) you'll need:

• Financial Contact Submissions
• All Forms