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  • Identifying Medicare Beneficiaries With Qualified Medicare Beneficiary Status
  • Post author
    Lacy Gaskins

Identifying Medicare Beneficiaries With Qualified Medicare Beneficiary Status

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) identify Medicare beneficiaries with Qualified Medicare Beneficiary (QMB) status according to supplied CMS protocols. CMS will allow for this in multiple claims processing systems including the Common Working File (CWF).

 Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3764CP.pdf

Subject: Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System

Number: 3764

Title: 9911

Release Date: April 28, 2017

Effective Date: October 2, 2017

Implementation Date: July 3, 2017

Special Notes: Transmittal 3715, dated February 3, 2017 is being rescinded and replaced by Transmittal 3764, dated April 28, 2017,to revise business requirement 9911.5 to refer to the claim rather than the line. All other information remains the same.

 

  • Post author
    Lacy Gaskins

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