If the claimant meets the requirements for entitlement to ESRD, we must determine
whether he or she is currently entitled to Medicare under a RLCN. A claimant will
have Medicare under an RLCN only if he or she:
has received a disability benefit from RRB for 24 months.
A Medicare record is established if an RRB claimant is age 64 and 8 months or in the
20th month of disability.
Secure an MBR and HI/SMI Query Response (HIQR) printouts on the claimant’s own SSN
or any other SSN’s involved, such as those indicated in the answer to item 9(c) of
the CMS-43 (Application for Health Insurance under Medicare for Individual with Chronic
Renal Disease). Review the printouts to determine whether the:
MBR establishes Medicare entitlement under RRB;
HIQR on the RLCN shows Medicare entitlement for the claimant; or
XCN field of the HIQR on the claimant’s SSN shows a cross reference to an RLCN (six
or nine digit number preceded by one, two, or three alpha characters, e.g., WA 123456;