Disputing a (Interim) Conditional Payment Letter (CPL)

The beneficiary, or their authorized representative, may dispute the claims associated with a CPL.  Disputing the claims before the demand has been sent does not carry any formal appeal process.  Only the demand can be appealed, waived or compromised.

Disputes should carefully specify which claims are not related to aid the case analyst in assessing the dispute.  A beneficiary, or their authorized representative, may wish to add claims to the CPL. to ensure its accuracy.  Although it may seem counter-intuitive to add value to your case, remember that the claims are going to be reassessed just before the demand is sent and the amount may go up without your help.

Disputes must be in writting and submitted to the appropriate mail box at the MSPRC.

Third Party Administrators (TPAs) can file a dispute with the MSPRC.

 

Disclaimer -- Piatt Consutling and our staff cannot render legal, accounting or medical service.  We can only try to provide accurate and authoritative information in regard to the subject matter covered.  If legal advice or other expert assistance is required, the services of a competent professional in that area should be sought.