decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-31
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Article Overview
This program memorandum explains operational guidance for intermediaries and carriers handling Medicare Secondary Payer record corrections through the Common Working File and the Coordination of Benefits contractor. It addresses referral routing, supporting documentation, response timing, contact information, and the transition of IEQ and Data Match operations in 2000. The article is relevant to Medicare administrative staff, MSP coordinators, and organizations managing CWF referrals and contractor workflow.
Why This Topic Matters
It documents a time-specific Medicare administrative process change affecting how certain MSP-related referral requests were submitted and tracked. Readers responsible for Medicare coordination, contractor operations, or historical policy research will want the effective dates, routing instructions, and attachment details.
Article Sections
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Subject and background
Introduces the memorandum topic and the operational context for Medicare Secondary Payer record handling. Summarizes the contractor transition and the types of CWF referral issues addressed.
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Instructions for referrals and record changes
Describes the general referral workflow, where supporting documentation should go, and how requests are routed under the updated process. Also notes response timing and contact guidance for high-priority issues.
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Effective dates and implementation
Lists the time period covered by the memorandum, along with effective and implementation dates. Includes the discard date and references future follow-up guidance.
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Attachment: CWF Referral Form
Provides the referral form used for Commonwealth Working File submissions related to Data Match or IEQ records. The form includes beneficiary, contractor, and comments fields, along with request checkboxes and related administrative prompts.
What You Will Learn
- The scope of the 2000 Medicare contractor memo and the operational issues it addresses
- How CWF referral handling was organized for IEQ and Data Match-related requests
- What administrative information was included in the referral form and attachment
- The memo’s effective window and implementation timeframe
Who Should Read This
- Medicare intermediaries and carriers
- MSP coordinators
- COB contractor staff
- Healthcare reimbursement and administrative compliance teams
- Historical medical policy researchers
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