TN 2 (02-91)
Three basic types of information housed in the record which must be maintained are:
Part A utilization, and,
Part B utilization.
HI information is updated in two ways.
HI information is automatically transferred to the HI master tape whenever pertinent
MBR data changes.
changes in the:
Part A entitlement/Part B enrollment date, and,
terminations based on:
termination of monthly benefits,
nonpayment of premiums,
voluntary withdrawal, and,
A beneficiary"s death is also reported to the HI master tape when the Common Working
File (CWF) Host site receives any claim indicating that the beneficiary died. This
date of death is only shown on the HI master tape.
This table describes the process involved in the maintenance of Part A utilization
This table describes the maintenance of Part B utilization information.
NOTE: A similar process is followed for Part B blood and psychiatric services for which
there is an annual limitation. (See HI 00610.470 — HI 00610.480.)