TN 3 (11-22)
HI 00920.110 EOMB's and Disallowance Notices
These notices originating from the carriers and intermediaries inform the individual
of any claim actions taken. Entitlement problems may be brought to the attention of
the DO by the beneficiary. The procedures in this section apply only when a beneficiary
questions a disallowance of a HI or a SMI claim for one of the following reasons and
State buy-in is not involved.
Not entitled to HI benefits.
Not entitled to SMI benefits.
Expenses incurred prior to current entitlement.
Expenses incurred after-termination of current entitlement.