decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / AB-02-077
Subscribe or sign in to view the full article.
Article Overview
This article is a CMS Program Memorandum for Medicare intermediaries and carriers that explains updates to Common Working File handling of beneficiary other-insurer data. It matters for organizations involved in coordination of benefits, claims support, and system maintenance because it outlines the scope of the file changes, the affected parties, implementation timing, and the data elements associated with the new auxiliary file record.
Why This Topic Matters
It helps readers determine whether they need to follow CMS guidance tied to Common Working File maintenance, coordination of benefits data, and related claims processing support.
Article Sections
-
Program Memorandum Information
Introduces the CMS memorandum, identifies the transmittal, and states that it reissues an earlier program memorandum with a change to the discard date. It also gives the subject and dates associated with the update.
-
Questions and Answers
Explains the purpose of the memorandum, who is affected, what the maintainer is expected to support, and why the auxiliary file is needed. This section also includes the effective, implementation, and discard dates.
-
Attachment: Data Elements Required for the BOI Aux File Record
Lists the required record fields for the beneficiary other-insurer auxiliary file, including beneficiary identifiers, maintenance-related elements, insurer information, and dates. The attachment provides the structure and general data categories for the file record.
What You Will Learn
- What CMS is changing in Common Working File support for other-insurer information
- Which parties are affected by the memorandum
- What broad categories of data are included in the auxiliary file record
- Which implementation and discard dates apply to the memorandum
Who Should Read This
- Medicare intermediaries
- Carriers
- Common Working File maintainers
- Common Working File hosts
- Coordination of benefits contractors
- Health information systems staff
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com