Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 100.3
Inquiries Function (Summary Level Codes 13000 and 33000) -
100.3 - Inquiries Function (Summary Level Codes 13000 and 33000) -
(Rev. 1, 08-30-02)
A1-1213.3, B1-4213.3
The inquiries function includes the costs and workload(s) associated with inquiries
including Medicare customer service or billing/claims inquiries from beneficiaries or
providers by telephone, correspondence, walk-in or on-line inquiry. The costs of inquiries
received in the medical review (MR), Medicare Secondary Payer (MSP), and Benefit
Integrity (BI) departments should be charged to those activities. The carrier shall charge
the cost of beneficiary inquiries to obtain participating physician/supplier information to
participating physicians. However, it shall charge the costs of toll-free lines and
equipment to receive phone or electronic inquiries relating to the participating physician
activity and the costs of general inquiries from physicians to Inquiries.