Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 220
Quarterly Supplements to Carrier Performance Report (Forms CMS-
220 - Quarterly Supplements to Carrier Performance Report (Forms CMS-
1565A, CMS-1565B, CMS-1565C, CMS-1565D, and CMS-1565E) - General
(Rev. 6, 08-30-02)
B3-13320
In addition to the monthly workload report, the carrier prepares and transmits to CMS a Quarterly
Supplement to the Carrier Performance Report showing the status and disposition of selected
workloads. It prepares a separate report for each office/State that has been assigned a separate
carrier number.