Medicare Secondary Payer

Metadata Updated: August 23, 2019

The Medicare Secondary Payer project is an annual process which attempts to identify working Medicare beneficiaries and/or their spouses. The first stage of this process is to extract all of the Medicare beneficiaries from the MBR. Prior to 2015, CSPOTRUN performed this function. Beginning in 2015, CSRETAP accomplishes this. In this process two files are prepared. One file goes to the Internal Revenue Service (IRS) for a tax return search and the other file is used for the Master Earnings File (MEF) search. IRS searches their tax return database and identifies returns that have spouses identified and returns this information to SSA. This file is then run against the MEF to obtain any current employment information for the beneficiary or the spouse. This data is sent to CMS for their process to determine whether Medicare should be the secondary payer for hospital and doctors bills. They determine whether the beneficiary and/or spouse have current health insurance coverage from their employer.

Access & Use Information

Restricted: This dataset can only be accessed or used under certain conditions. License: See this page for license information.
The data contained in this data exchange is restricted due to sensitivity and/or privacy issues. If you would like more information on a data exchange with SSA please visit the following web site https://www.ssa.gov/dataexchange/.

Downloads & Resources

No file downloads have been provided. The publisher may provide downloads in the future or they may be available from their other links.

Dates

Metadata Created Date January 30, 2015
Metadata Updated Date August 23, 2019
Data Update Frequency R/P1Y

Metadata Source

Harvested from SSA JSON

Additional Metadata

Resource Type Dataset
Metadata Created Date January 30, 2015
Metadata Updated Date August 23, 2019
Publisher Social Security Administration
Unique Identifier US-GOV-SSA-664
Maintainer
Data Exchange Administrator
Maintainer Email
Public Access Level restricted public
Data Update Frequency R/P1Y
Bureau Code 016:00
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Harvest Object Id 5e86bb04-6afe-484d-abdd-f8589b3c1998
Harvest Source Id 3ab711e9-e33a-4f1e-a524-30be635dbce0
Harvest Source Title SSA JSON
License https://www.ssa.gov/open/data/Restricted-Public-Licensing-Information.html
Data Last Modified R/P1Y
Program Code 016:000
Rights The data contained in this data exchange is restricted due to sensitivity and/or privacy issues. If you would like more information on a data exchange with SSA please visit the following web site https://www.ssa.gov/dataexchange/.
Source Datajson Identifier True
Source Hash 95c2117ee776d6ec4d466bf48ac095da61cafb80
Source Schema Version 1.1
Spatial United States

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