decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Medicare_Carriers_Manual / 4021 / 4021
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Article Overview
This Medicare Carriers Manual article covers the “Do Not Forward” initiative for carriers and DMERCs, including how returned checks and remittance advices are handled, how provider or supplier records are flagged and updated through enrollment channels, and how related payment reporting is affected. It is intended for Medicare claims, provider enrollment, financial, and benefit integrity staff who need to understand the administrative workflow and reporting requirements connected to returned mail and address changes.
Why This Topic Matters
It matters because it addresses how Medicare contractors manage undeliverable provider payments, maintain accurate enrollment records, coordinate internal staff actions, and handle downstream reporting so payments and records are processed consistently.
Article Sections
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The “Do Not Forward” (DNF) Initiative
Introduces the initiative and explains the overall purpose of using return-service mailing procedures for Medicare payments and remittance materials. It also outlines the contractor responsibilities involved in identifying and tracking returned items.
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Returned Check Process for Carriers and DMERCs
Describes the operational workflow for handling returned checks and remittance advices, including mail processing, recordkeeping, enrollment coordination, and treatment of subsequent claims for flagged providers or suppliers.
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Change of Address Process for Local Carriers and DMERCs
Summarizes the process for providers or suppliers to report nonreceipt, update enrollment information, and have the mailing flag removed. It also covers follow-up between enrollment and financial staff after the update.
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IRS-1099 Reporting
Addresses how returned or withheld provider and supplier payments are reflected in IRS-1099 reporting and when corrected reporting may be needed.
What You Will Learn
- How the DNF initiative is used in Medicare contractor mail handling
- What roles carrier, DMERC, enrollment, financial, and benefit integrity staff play
- How returned checks and remittance advices are tracked administratively
- How address updates are routed through enrollment processes
- How payment reporting is affected when checks are returned or withheld
Who Should Read This
- Medicare carriers
- DMERCs
- Provider enrollment staff
- Financial staff
- Benefit integrity staff
- Claims processing staff
- Supplier enrollment personnel
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