Medicare Secondary Payer (MSP): Employer Attestation Form and FAQ

Thank you for your assistance with ensuring we have the proper employee counts for the purpose of determining payment priority between Medicare and UPMC Health Plan.

How to complete and submit the form: Download the Medicare Secondary Payer (MSP) Employer Attestation Form, complete it with your responses, and return it to groupinfoupdates@upmc.edu within 30 days.

You can also view a list of frequently asked questions. Please contact your account manager with any additional questions.