TN 6 (12-93)
NL 00601.160 Closeout Requirements
All award and disallowance notices must contain a paragraph which closes all classes of benefits covered by the scope of the application. Otherwise, the application remains open and entitlement may be established at a later date, using the open application instead of a subsequently filed application. (See GN 00204.025). The scope of the application is determined by the wording on its face (see GN 00204.020).
B. Description of closeout paragraphs
Closeout paragraphs are:
1. General award, no other claim pending
For a general award with no other claims pending:
MADCAP – G19
2. Modified closeout on awards, other claim pending
For a modified closeout on an award with other claim pending:
MADCAP – B56
3. Disallowance closeouts
For disallowance closeouts:
The disallowance exhibit letters in NL 00703.900 through NL 00703.917 include a closeout paragraph.
4. Disclaimers for closeout paragraphs - subsequent entitlement
For disclaimers for closeout paragraphs - subsequent entitlement, the most common example is:
A RIB beneficiary with Medicare coverage subsequently becomes entitled to another type of benefit on a different SSN. Advise the beneficiary that this in no way affects Medicare coverage.