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.





