Program_Memos / 2001 / AB-01-78

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This HCFA/CMS program memorandum is for Common Working File maintainers and related host system users. It describes the creation of a beneficiary other-insurer auxiliary file, the maintenance and reporting functions tied to coordination of benefits, and the data elements used to support other-insurance information exchange.

Why This Topic Matters

The article matters to Medicare systems and claims-processing staff because it outlines how beneficiary other-insurance information is stored, maintained, and shared within the Common Working File environment. It also establishes the operational context and effective/implementation timing for the file changes.

Article Sections

  1. Program Memorandum Overview

    Introduces the memorandum, its subject, the affected system components, and the general purpose of the change request.

  2. Purpose and Scope

    Summarizes why the memorandum was issued and identifies the systems and users impacted by the update.

  3. CWF Maintainer Responsibilities

    Lists the development, maintenance, documentation, and release activities assigned to the Common Working File maintainer.

  4. Need for the BOI Aux File

    Explains the operational role of the beneficiary other-insurer auxiliary file within the Common Working File environment.

  5. Effective Date and Implementation Date

    Provides the timing information associated with the memorandum’s effective and implementation dates.

  6. Attachment: Data Elements Required for the BOI Aux File Record

    Presents the record layout and data fields associated with the beneficiary other-insurer auxiliary file, including mandatory elements and coded values.

What You Will Learn

  • The scope of the Common Working File update for beneficiary other-insurer information
  • Which system components and user groups are affected
  • The types of file and transaction support addressed in the memorandum
  • The categories of data elements required for the auxiliary file record
  • The timing and administrative details associated with the change request

Who Should Read This

  • Medicare system maintainers
  • Common Working File host personnel
  • Fiscal intermediary staff
  • Carrier staff
  • Coordination of benefits operations staff

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