Mealey's (December 16, 2022, 10:27 AM EST) -- RICHMOND, Va. — The Fourth Circuit U.S. Court of Appeals affirmed a district court’s order dismissing a complaint filed by the North Carolina Insurance Guaranty Association (NCIGA) seeking an advisory opinion as to whether it is required to reimburse Medicare pursuant to the Medicare Secondary Payer (MSP) statute for medical bills Medicare pays on behalf of insured persons, finding that the lower court correctly dismissed the association’s complaint after determining that it lacked jurisdiction due to the association’s failure to exhaust administrative remedies....