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Beneficiary means a person who is entitled to Medicare benefits and/or has been determined to be eligible for Medicaid. CMP stands for competitive medical plan. Conditions of participation includes requirements for participation as the latter term is used in part 483 of this chapter.

The EDB represents information on the beneficiaries from the beginning of Medicare (1966) to the present and is updated daily. It is not a sample, but a 5% sample of the EDB is maintained. The primary source for beneficiary information is the Social Security Administration (SSA) Master Beneficiary Record (MBR).

In general, CMS issues the demand letter directly to: The Medicare beneficiary when the beneficiary has obtained a settlement, judgment, award or other payment.

You can submit a Beneficiary Proof of Representation (POR) authorization request to inform the Centers for Medicare & Medicaid Services (CMS) that the Medicare beneficiary has given another individual or entity (such as an attorney) the authority to represent them and act on their behalf with respect to their case.

Essentially, it's a document that authorizes someone to be your designated representative on a Medicare-related case. An attorney or another individual who has a valid POR will be able to access your records, receive copies of mail related to your case, and represent you in financial or legal disputes.

Proof of Representation is required for the Benefits Coordination & Recovery Center (BCRC) to communicate with and provide information to an attorney that represents a Medicare beneficiary.

You can submit a Beneficiary Proof of Representation (POR) authorization request to inform the Centers for Medicare & Medicaid Services (CMS) that the Medicare beneficiary has given another individual or entity (such as an attorney) the authority to represent them and act on their behalf with respect to their case.

Proof of representation is required in order for the Benefits Coordination & Recovery Center (BCRC) to communicate with and provide information to a Medicare beneficiary's representative.