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In December of 2007, Congress enacted Section 111 of the Medicare, Medicaid & SCHIP Extension Act, which mandates that insurers and self-insureds participate in an automated exchange of medical claims and settlement data. The provision provides Medicare with all the data needed to enforce compliance not only with Section 111 but also with the Medicare Secondary Payer (MSP) statute, a law requiring that Medicare not pay for medical treatment when another primary payer is available.

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