decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-78
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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
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Program Memorandum Overview
Introduces the memorandum, its subject, the affected system components, and the general purpose of the change request.
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Purpose and Scope
Summarizes why the memorandum was issued and identifies the systems and users impacted by the update.
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CWF Maintainer Responsibilities
Lists the development, maintenance, documentation, and release activities assigned to the Common Working File maintainer.
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Need for the BOI Aux File
Explains the operational role of the beneficiary other-insurer auxiliary file within the Common Working File environment.
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Effective Date and Implementation Date
Provides the timing information associated with the memorandum’s effective and implementation dates.
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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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