Medicare Claims Processing Manual (Pub. 100-04), Ch. 2 § 30.21.1
HMO-Related Master File Corrections
30.21.1 - HMO-Related Master File Corrections
(Rev. 3441, Issued: 01-15-16, Effective; 12-31-13; ASC X12: 01-01-12, MAC
Implementation: 02-16-16; ASC X12: 02-16-16)
The A/B MAC (A), (B), or (HHH), or DME MAC will fully document and send to the
HMO inquiries concerning problems with HMO data on the HI Master. The HMO will
resolve the problem and advise the contractor of the results.