T5052

FISS Narrative:
CMS records indicate the beneficiary is not on file. Verify the beneficiary’s identification number and resubmit.

Explanation and suggestion:

  • This reason code indicates that the Common Working File (CWF) was not able to match the identifying information (name, Medicare ID number, sex, date of birth) to any beneficiary record in its files
  • Verify the information with the beneficiary and/or their representative
  • If everything matches, the beneficiary should investigate with the Social Security Administration (SSA)

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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