Resource Center

Information on Affiance Partners
Affiance Partners Brochure (Please click here to request a hard copy.)

Forms
Intake Form
Please include copy of settlement documents or Compromise and Release as well as a copy of the MSA allocation (if available) upon return of this form. Return to: Affiance Partners, Attention Karen Sanning. Please note: Affiance Partners Tax Payer ID: #26-3840385.
Release of Medical Information
Medical Service Provider Contact Information

Guidance from the Centers for Medicare and Medicaid Services (CMS)
CMS Website: Workers Compensation Agency Services
Medicare & You Handbook
• CMS Memos Regarding Workers' Compensation:

o July 23, 2001 Memorandum
o April 21, 2003 Memorandum
o May 23, 2003 Memorandum 
o May 7, 2004 Memorandum
o October 15, 2004 Memorandum
o December 30, 2005 Memorandum 
o July 11, 2005 Memorandum
o April 25, 2006 Memorandum
o July 24, 2006 Memorandum
o May 20, 2008 Memorandum 

Recent News
June 7, 2010 Medicare Bulletin: Prescription Drug Coverage for Medicare Beneficiaries

Articles & Practice Tips
Medicare Set Aside (MSA) Administration: What to Look for in a Provider




 We know that suffering an injury causes enough stress. With the support and experience of Affiance Partners behind you, you can rest assured that the beneficiary's Medicare card is protected and the settlement complies with CMS guidelines.

Affiance Partners
7775 Cooper Road Cincinnati, OH 45242
800.794.6167 (toll-free) 513.575.7202 (fax)
© 2010 Affiance Partners All Rights Reserved.