Commercial Repayment Center (CRC) Transition Update:

The Centers for Medicare and Medicaid Services (CMS) recently held a webinar discussing the transition of the Commercial Repayment Center’s (CRC) operating contractor from CGI Federal to Performant Financial Corporation (Performant) for Group Health Plans and Non-Group Health Plans.

During the transition, there will be “dark days” where CRC will not be operating, but transferring files from CGI Federal to Performant.  These dark days begin on Friday, 2/9/2018 at 8 pm and end on Monday, 2/12/2018 at 8 am EST.  On 2/12/2018, Performant Financial Corporation will be operating the CRC.

Performant has provided two contacts for use with respect to the transition:

Ted Doyle – CRC Transition Project Director            Laura Martinez – MSP CRC NGHP Recovery Manager
(925) 337-5558                                                                  (209) 858-3705
tdoyle@performantcorp.com                                       lmartinez@performantcorp.com

Additionally, Performant has provided the following email to be used for claims with special needs:  CRCNGHPInquiries@performantcorp.com

Beginning 2/12/2018, all NGHP CRC correspondence and checks should be sent to:

Medicare Commercial Repayment Center – NGHP
PO BOX 269003
Oklahoma City, OK 73126

*New fax number (844) 315-7627

Fax Number: CRC’s current fax number will be disconnected on 2/6/2018 at 8 pm, the new number begins operation at 8 am on 2/12/2018.

Customer Service Line: telephone number stays the same (855) 798-2627. The phone line will be turned off at 8 pm on 2/9/2018.  Performant to begin its operation at 8 am on 2/12/2018.

All data is being “frozen” at the end of the day on 2/7/2018.  This means no new information or data will be uploaded onto the web portal or into CRC’s system until Performant starts entering the data on 2/12/2018 at 8 am.

All pending appeals will be transferred to Performant during the dark days, to assume handling.  The timeframe for response does not change and Performant requests the industry continue with their regular follow up time-frames.  (i.e. don’t call to see if an appeal with CGI was received by Performant).

Mail sent to the old CRC address will be forwarded to the new PO BOX, however, beginning 2/12/2018, the new PO BOX should be used.  If mail is sent to Performant before 2/12/2018, Performant will hold the mail and start processing beginning 2/12/2018 8 am.

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