If the individual does not wish to file for R-HI because of an Employer Group Health
Plan, return the CMS-2728-U3 to the renal facility (HI 00801.258E).
If the individual is 65 or over and there is no advantage as stated in the above scenarios,
destroy the CMS-2728-U3.
If the requirements for entitlement are met, process and forward the case to ODO.
The CMS-2728-U3, regardless of the MBR jurisdiction, is not to be sent to PSCs 1 through
6 for filing purposes or to document changes in dialysis or transplant information.
All ESRD claims are processed and maintained by ODO.