N5052

FISS Narrative:
Beneficiary identification incorrect: the beneficiary name and/or other personal data in the CWF transaction did not match the data stored on the beneficiary master record.

Explanation and Suggestion:

  • Validate the information on both Pages 01 and 05
  • You may check the Common Working File (CWF) by entering a ‘10’ in the SC field in the upper left corner of your screen
  • Verify that the name and Medicare number match, and then go to Page 3 of the CWF information to verify the spelling of the beneficiary’s name
  • PF3 back to claim, make your corrections and resubmit

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

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