Article Detail - JF Part A
Ensure Your Medical Records Correspondence Address is Correct
We encourage all providers and suppliers to ensure your enrollment record in PECOS has a Medical Records Correspondence Address (MRCA) on file that is kept up-to-date. This address is used by your Medicare Administrative Contractor (MAC) to request medical records.
Although the MRCA has been on the enrollment forms for some time, the use of addresses by MACs is relatively new, so we would encourage all providers to make sure that an address is present in this field. Note that if this field is blank, the payee address is used for medical records requests.
The MRCA may also be used by other Medicare contractors doing claim reviews to request medical documentation, but the following contractors are not doing so at this time, as explained below. When applicable, we have provided ways you can control which address is used for your medical records requests.
CERT (Comprehensive Error Rate Testing program): Call CERT Customer Service at 888-779-7477 to request that records requests be mailed to a specific address.
SMRC (Supplemental Medical Review Contractor): This contractor uses the mailing address for requesting records.
RAC (Recovery Audit Contractor): This contractor uses the payee address or physical address for requesting records. Log into the Cotiviti provider portal to update contact information.
UPIC (Unified Program Integrity Contractor): For pre-payment reviews, the UPIC uses the MRCA for records request, with the default to the payee address if the MRCA is not present. For post-payment review requests, the payee address is used.
