Medicare Secondary Payer (MSP) Fact Sheet
Need help?
Contact Us About Claims
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections:
(866) 518-3253
7:00 am to 4:30 pm CT M-Th
DDE Navigation & Password Reset: (866) 518-3251
7:00 am to 4:30 pm CT M-F
DDE System Access: (866) 518-3295
7:00 am to 4:30 pm CT M-F
EDI: (866) 518-3285
7:00 am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections:
(866) 580-5980
8:00 am to 5:30 pm ET M-Th
DDE Navigation & Password Reset: (866) 580-5986
8:00 am to 5:30 pm ET M-F
DDE System Access: (866) 518-3295
8:00 am to 5:30 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
EDI: (866) 518-3285
7:00am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Need help?
General questions about Medical Review
- (866) 518-3285
7:00 am to 5:00 pm CT M-F
- (866) 234-7331
8:00 am to 5:00 pm ET M-F
- (866) 518-3285
7:00 am to 5:00 pm CT M-F
- (866) 234-7331
8:00 am to 5:00 pm ET M-F
Need help?
Contact Us About Overpayments
Inquiries regarding refunds to Medicare - MSP Related
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Inquiries regarding overpayments NOT associated with MSP
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Reimbursement.Overpayment.
Inquiry@wpsic.com
Inquiries regarding refunds to Medicare - MSP Related
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Inquiries regarding overpayments NOT associated with MSP
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Reimbursement.Overpayment.
Inquiry@wpsic.com
Questions regarding overpayments associated with MSP related debt
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Questions regarding overpayments NOT associated with MSP related debt
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 6:00pm ET) M-Fri
Payment.Recovery.Inquiry@wpsic.com
Questions regarding overpayments associated with MSP related debt
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Questions regarding overpayments NOT associated with MSP related debt
(866) 234-7331
8:00 am to 5:00 pm ET (7:00 am to 4:00pm CT) M-Fri
Payment.Recovery.Inquiry@wpsic.com
Need help?
Contact us about Appeals
7:00 am to 5:00 pm CT M-F
8:00 am to 5:00 pm ET M-F
7:00 am to 5:00 pm CT M-F
8:00 am to 5:00 pm ET M-F
Need help?
Contact Us About Provider Enrollment
(866) 518-3285
7:00 AM - 5:00 PM CT, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
8:00 AM - 5:00 PM ET, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 518-3285
7:00 AM - 5:00 PM CT, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
8:00 AM - 5:00 PM ET, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
Need help?
Contact us about Policies
- (866) 518-3285 - General questions about Policies
7:00 am to 5:00 pm CT M-F
- (866) 234-7331 - General questions about Policies
8:00 am to 5:00 pm ET M-F
- (866) 518-3285 - General questions about Policies
7:00 am to 5:00 pm CT M-F
- (866) 234-7331 - General questions about Policies
8:00 am to 5:00 pm ET M-F
LCD Reconsideration Request: Policycomments@wpsic.com
Draft LCD Comments: Policycomments@wpsic.com
IDE Submissions: IDE.mailbox@wpsic.com
RSVP for Open Meeting and CAC: LCDCAC@wpsic.com
Questions about Payments and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Need help?
Need help?
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 8696
Madison, WI 53708-8696
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 14172
Madison, WI 53708-0172
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Need help?
Try these links first.
Questions about Self-Service?
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Try these links first.
Questions about Self-Service?
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Try these links first.
Questions about Self-Service?
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Try these links first.
Questions about Self-Service?
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Medicare Secondary Payer (MSP) Fact Sheet
You currently have jurisdiction selected, however this page only applies to these jurisdiction(s): .
Medicare Secondary Payer (MSP) is when another payer is responsible for paying a claim before Medicare. Regulation prohibits Medicare from paying primary when a beneficiary has the following:
- Group Health Plan (20 or more employees)
- Large Group Health Plan (100 or employees)
- Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)
- Workers Compensation
- No-Fault or liability insurance
For a detailed explanation of who is primary in what circumstance, visit the CMS Internet-Only Manual (IOM), Publication 100-05, Medicare Secondary Payer Manual, Chapter 1 – General MSP Overview .
Determining who is Primary to Medicare
Billing Medicare When the Primary Insurer Paid in Full
Electronic Filing When Medicare Secondary
Claim Adjustment Reason Codes (CARCs)
How To Avoid Delays and Unprocessable Claims
Determining who is Primary to Medicare
The provider is responsible for verifying the MSP screens in Common Working File (CWF) are accurate. The provider must gather data to determine if Medicare is the primary payer. Refer to our Medicare Secondary Payer (MSP) Questionnaire resource for more information. Providers can use the HIPAA Eligibility Transaction System (HETS) system to check Medicare beneficiary data in real-time. Refer to the CMS HIPAA Eligibility Transaction System (HETS) page for more information.
If CWF is correct, submit your claim. If CWF is incorrect, you must contact the Benefits Coordination and Recovery Center to update CWF. When the CWF record is correct, submit your claim.
MSP and Liability
If a liability situation exists, the provider should bill the liability insurer first within a 120-day "promptly paid" period. If the liability insurer does not make payment within this timeframe, the provider can bill Medicare or pursue the liability claim.
- Providers not accepting assignment can collect amounts up to the limiting charge.
- Providers accepting assignment can collect deductibles and coinsurance amounts.
- The provider cannot pursue a lien or claim against the liability insurer or the beneficiary for amounts collected from the liability insurer.
- A provider choosing to pursue the liability claim should be aware that they cannot collect any amounts from the patient until the liability claim is complete. When the liability claim is complete, the provider can collect actual charges up to the amount of the liability claim.
- The timely filing limit still applies.
- If the provider pursues the liability claim and there is no payment by the liability insurer
- The provider may not collect any amounts from the patient past the timely filing limit.
- Collection of payment of actual charges from the proceeds of the liability insurance after the provider has billed Medicare violates the provider agreement.
Billing Medicare When the Primary Insurer Paid in Full
Providers must submit MSP claims, even when no payment is due, to fulfill beneficiary deductibles, co-insurances, and to maintain the beneficiary benefit period.
Electronic Filing When Medicare is Secondary
If CWF records indicate that the medical services and supplies provided to a beneficiary are covered by another primary payer insurance,
- Medicare will not make a payment for services covered by the primary insurance.
- Providers must bill the appropriate insurance plan and submit an MSP claim to Medicare upon receipt of the primary payment or denial.
Submit MSP claims electronically. They do not meet the Administrative Simplification Compliance Act (ASCA) exception.
The 837 version 5010A1 professional TR3 (Technical Report-Type 3) guide requires:
- Claims submitted for MSP contain standard claim adjustment reason codes to indicate decisions made by the primary payer.
- For a valid MSP claim
- The amount paid by the primary payer
- Plus the amounts adjusted by the primary payer
- Must equal the billed amount for the services on the claim
If a claim contains missing or incorrect information, one of two things will happen because of initial editing.
- The claim may reject on the 999. If rejected, the claim goes no further
- An accepted claim or accepted with errors on the 999
- Claim goes to Common Edit Module (CEM) for additional editing
- View the 277CA to verify claim acceptance or denial
The chart below applies to all providers and identifies the segments and data elements that you must use to report:
- Submitted charges
- Primary payer paid amount
- Adjustment amounts by the primary payer
Description | 837 v 5010A1 Segment |
Comments |
---|---|---|
Insurance Type Code | 2000B SBR05 | Required when the destination payer is Medicare and Medicare is not the primary payer. |
Policy # of Patient | 2330A NM109 | Other insured identifier |
Group # | 2320 SBR03 | Subscriber Group Number |
Patient Relationship | 2320 SBR02 | Required |
Primary Payer Name | 2330B NM103 | Primary payer name |
Primary Payer Address | 2330B N3 & 2330B N4 | Primary payer address |
Total Claim Charge Amount | 2300 CLM02 | Must balance to the sum of all service line charge amounts reported in the SV1 segments for this claim. |
Claim Primary Payer Paid Amount | 2320 AMT02 AMT01 = D |
Must be equal to the sum of the lines (2430 SVD02). Zero "0" is an acceptable value for this element. |
Claim Level Adjustment Group Code | 2320 CAS01 | Code identifying the general category of payment adjustment. |
Claim Level Adjustment Reason Code | 2320 CAS02, CAS05, CAS08, CAS11, CAS14, CAS17 | Used to report prior payers claim level adjustments that cause the amount paid to differ from amount originally charged. |
Claim Level Adjustment Monetary Amount | 2320 CAS03, CAS06, CAS09, CAS12, CAS15, CAS18 | Amount of adjustment. The amount paid by the primary payer plus the amounts adjusted by the primary payer must equal the billed amount for the claim. |
Line Item Charge Amount | 2400 SV102 | Required |
Line Primary Payer Paid Amount | 2430 SVD02 | Service line paid amount. Zero "0" is an acceptable value for this element. |
Line Level Adjustment Group Code | 2430 CAS01 | Code identifying the general category of payment adjustment. |
Line Level Adjustment Reason Code | 2430 CAS02, CAS05, CAS08, CAS11, CAS14, CAS17 | Used to report prior payers line level adjustments that cause the amount paid to differ from amount originally charged. |
Line Level Adjustment Monetary Amount | 2430 CAS03, CAS06, CAS09, CAS12, CAS15, CAS18 | Amount of line level adjustment. |
Line Check or Remittance Date | 2430 DTP02 (573) | Date claim paid by primary payer. |
MSP Type Codes
MSP claims require MSP type codes. Use the appropriate MSP type code when submitting an electronic MSP claim:
12 — Working Aged
Report only if the individual is age 65 or older and
- Covered by an Employer Group Health Plan (GHP) through their current employment or spouse’s current employment
- The employer has 20 or more employees (or at least one employer is a multi-employer group that employs 20 or more individuals)
13 — End Stage Renal Disease
Report only for an individual who has End Stage Renal Disease (ESRD) and
- Covered by an Employer Group Health Plan (GHP)
- Within first 30 months of eligibility
- Entitlement to Medicare or the individual has ESRD
- Covered by COBRA
14 — Automobile/No-Fault
Medicare beneficiary involved in an accident or other situation where no-fault or liability insurance
Regardless of fault, No-Fault insurance pays services related to
- Injury of the individual
- Damage to property in an accident
15 — Workers' Compensation
Report only when Medicare beneficiary services are due to Workers’ Compensation illness or injury.
16 — Federal/Veteran’s Administration (VA)
Medicare does not pay for the same services covered by VA benefits. Submit claims to VA. Do not submit MSP claims to Medicare.
41 — Black Lung
Medicare does not pay for the same services covered by Federal Black Lung Benefits. Do not submit MSP claims to Medicare.
Submit claims to the Department of Labor (DOL):
U.S. Department of Labor
Federal Black Lung Program
PO Box 8302
London, KY 40742-8302
For reimbursement or DOL appeal requests denied under your state award
- Submit the bill or the reimbursement request
- Original receipts
- A copy of the denial letter
Send reimbursement or appeal requests to:
Federal Black Lung Program
P.O. Box 828
Lanham-Seabrook, MD 20703-0828
43 — Disability
Report when disabled Medicare beneficiary is
- Covered by an Employer Group Health Plan (GHP) through their current employment
- Covered through a family member’s current employment
- The employer has 100 or more employees (or at least one employer is a multi-employer group that employs 100 or more individuals)
47 — Liability
Report only when services are due to the liability incident.
Liability insurance (including self-insurance) protects the policyholder or self-insured entity against claims based on
- Negligence
- Inappropriate action
- Inaction that results in bodily injury or damage to property
Claim Adjustment Reason Codes (CARCs)
Refer to the X12 website for CARC information.
How To Avoid Delays and Unprocessable Claims
- Report the correct insurance type code
- Provide complete primary payer's name and address
- Don't confuse the payers. You should not report Medigap or Medicaid information in the primary insurance record. Medigap, Medicaid and Crossover occur after Medicare has considered the claim, not before.
- When the beneficiary is only responsible for the managed care plan's co-pay amount indicate this by
- Including an electronic equivalent of box 19 "Billing for $_____ co-pay only," insert the co-pay amount
- Leave the primary paid as zeros
- Use the appropriate CAS code information and amounts to indicate copay amount
- If the primary paid amount is zero,
- Include an explanation in the electronic equivalent of box 19, e.g., "Primary approved, but did not pay because total approved amount applied to deductible" or
- "Primary denied because…" and use the appropriate CAS code information and amounts to indicate denied amount.
- The primary paid amount should not exceed the billed amount
- The primary paid amounts should agree with the amounts submitted at the line level
Calculating Patient Liability
To determine if a beneficiary has any remaining liability
- Take the Medicare allowed amount
- Subtract the primary payment
- Subtract the Medicare payment
- If the number is positive, beneficiary has remaining liability
- If the number is zero or negative, there is no remaining liability
MSP Timely Filing
Normal Medicare timely filing and reopening rules apply to MSP claims. Providers can reopen a claim to make additional payments anytime within one year from the date of processing. We cannot reprocess the claim if it is outside the one-year reopening limit. For more information refer to the CMS Internet-Only Manual, Publication 100-05, Medicare Secondary Payer (MSP) Manual, Chapter 3 - MSP Provider, Physician, and Other Supplier Billing Requirements , Section 10.5.
Medicare does not consider the following situations good cause to reopen:
- Medicare processed a claim in accordance with the information on the claim form and consistent with the information in CWF
- Third party mistakenly paid primary when it alleges that Medicare should have been primary
CMS Resources
CMS HIPAA Eligibility Transaction System (HETS)
CMS IOM Publication 100-05, Medicare Secondary Payer (MSP) Manual, Chapter 1 - General MSP Overview
CMS IOM Publication 100-05, Medicare Secondary Payer (MSP) Manual, Chapter 3 - MSP Provider, Physician, and Other Supplier Billing , Section 10.5
CMS IOM Publication 100-05, Medicare Secondary Payer (MSP) Manual, Chapter 5 - Contractor MSP Claims Prepayment Processing Requirements
Medicare Secondary Payer: Don’t Deny Services & Bill Correctly
global-tags: Medicare Secondary Payer,J8B,J5B,Claims
Need help?
Contact Us About Claims
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections:
(866) 518-3253
7:00 am to 4:30 pm CT M-Th
DDE Navigation & Password Reset: (866) 518-3251
7:00 am to 4:30 pm CT M-F
DDE System Access: (866) 518-3295
7:00 am to 4:30 pm CT M-F
EDI: (866) 518-3285
7:00 am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections:
(866) 580-5980
8:00 am to 5:30 pm ET M-Th
DDE Navigation & Password Reset: (866) 580-5986
8:00 am to 5:30 pm ET M-F
DDE System Access: (866) 518-3295
8:00 am to 5:30 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
EDI: (866) 518-3285
7:00am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
.
View AMA License
LICENSE FOR USE OF PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (CPT)
End User Point and Click Agreement:
CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of Centers for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by CMS. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60654. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt.
Applicable FARS\DFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
AMA Disclaimer of Warranties and Liabilities.
CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this agreement.
CMS Disclaimer
The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.
Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking above on the button labeled "Accept".
LICENSE FOR USE OF CURRENT DENTAL TERMINOLOGY (CDT™)
These materials contain Current Dental Terminology (CDTTM), Copyright © 2010 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.
THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING ABOVE ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.
IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.
IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.
- Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
- Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association web site, http://www.ADA.org/.
- Applicable Federal Acquisition Regulation Clauses (FARS)\Department of restrictions apply to Government Use. Please click here to see all U.S. Government Rights Provisions.
- ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THE IMPLIED WARRANTIES O F MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. NO FEE SCHEDULES, BASIC UNIT, RELATIVE VALUES OR RELATED LISTINGS ARE INCLUDED IN CDT. THE ADA DOES NOT DIRECTLY OR INDIRECTLY PRACTICE MEDICINE OR DISPENSE DENTAL SERVICES. THE SOLE RESPONSIBILITY FOR THE SOFTWARE, INCLUDING ANY CDT AND OTHER CONTENT CONTAINED THEREIN, IS WITH (INSERT NAME OF APPLICABLE ENTITY) OR THE CMS; AND NO ENDORSEMENT BY THE ADA IS INTENDED OR IMPLIED. THE ADA EXPRESSLY DISCLAIMS RESPONSIBILITY FOR ANY CONSEQUENCES OR LIABILITY ATTRIBUTABLE TO OR RELATED TO ANY USE, NON-USE, OR INTERPRETATION OF INFORMATION CONTAINED OR NOT CONTAINED IN THIS FILE/PRODUCT. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third party beneficiary to this Agreement.
- CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. IN NO EVENT SHALL CMS BE LIABLE FOR DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OF SUCH INFORMATION OR MATERIAL.