Form CMS-1521, Payment Voucher on Letter-Of-Credit

70 - Form CMS-1521, Payment Voucher on Letter-Of-Credit Transmittal - (Rev. 5, 08-30-02) A1-1410, B1-4410 The purpose of form CMS-1521, Payment Voucher on Letter-of-Credit Transmittal, is to record daily voucher data that the contractor's bank submits to the Federal Reserve Bank for payment of Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) benefit payments. Administrative costs paid through the Smartlink System are also reported on the form. Administrative costs are allocated to current or prior fiscal years and to special projects. Transmit form CMS-1521 to CMS by the 15th of each month via the CAFM System. (See operating instructions for completion that are contained in the CAFM Users Guide.)