Claim Maintenance Records

20.2.4 - Claim Maintenance Records (Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18) The CWF Claim Maintenance Record is a record of a transaction that the Medicare Administrative Contractors are submitted in daily files to the CWF Host to update the related auxiliary file information that is used for claims processing approval. The final determination is returned on a Basic Reply Record. (See §20.2.2.) Claim Maintenance records can be of the following types: • Medicare Secondary Payer (MSP): Medicare Secondary Payer information (Primary insurer data when Medicare is secondary) is input on the HUSP record. • End Stage Renal Disease (ESRD): Beneficiary ESRD data input on the HURD record. • Certified Medical Necessity (CMN): Beneficiary Certified medical necessity data is input on the HUCM record. • Beneficiary Other Insurance Information (BOI): Beneficiary Other insurance information data is input on the HUBO record. • Beneficiary Libby Montana (Libby): Beneficiary Libby information data is input on the HUEP record. • Beneficiary Prior Authorization (PRAU): Prior Authorization data is input on the HUPA record. • Intravenous Immune Global (IVIG): Beneficiary Intravenous Immune Globulin information data is input on the HUIV record.