If the MBR reply shows the individual is eligible for SMI and the HIM code is 52 (i.e.,
no record), the problem is either one of timing or an exception in the MBR/HIM exchange.
Prepare an CMS-2178 according to HI 00930.080. Check item 6 under “Reason for Referral.” Enter the following in the “Correction
Needed” section: “Establish HIM according to information on the
MBR.” Attach the MBR and HIM replies to the CMS-2178 and send to Centers for Medicare &
Medicaid Services (CMS), OMB, OAS, DMOS, Transaction Branch, P.O. Box 17078, Baltimore,
MD 21203. Requery every 30 days until a good MBR and HIM is received. Then advise
the State to reaccrete under code 62.