2030 - Buy-In Eligible - Contact Buy-In for HIC-NO Correction - Priority Accept

This alert is generated when a change to the recipient’s HIC Number is attempted. If Medicare Part B has been bought in by the State (e.g., 2nd digit of Medicare Status Code = ‘2’), the county cannot change the HIC number.

Sample Alert

Click herehere to view the sample alert.

Possible Screen To Resolve This Alert

ReviewReview the HIC Number Cross Reference Report (INXH) screen.

The transaction has the prior HIC Number rather than the current HIC number.

Refer to MEDS Data Element Dictionary Overview for a list of the values displayed.

Action Required

The EW must:

Obtain a [Primary Medi-Cal/CMSP Information] INQM screen print.

Often the Health Insurance Claim (HIC) Number in CalSAWS does not match the HIC Number listed in MEDS. Review the HIC number from the HIC Number field on the Medicare Detail page and the HIC # on MEDS.

Compare the Health Insurance Claim Number (HIC) on MEDS with the HIC Number from the HIC Number field on the Medicare Detail page.
If the HIC Number in CalSAWS is incorrect, change the HIC number in the HIC Number field on the Medicare Detail page to match the number on the MEDS record. Suppress MEDS transaction in CalSAWS.
If the HIC Number on MEDS is incorrect, submit a State Medicare Buy-In Problem Form (online fillable form) or send an email to the Medicare Buy-In Unit at buyin@dhcs.ca.gov requesting correction.

2030 - Buy-In Eligible - Contact Buy-In for HIC-NO Correction - Priority Accept

Sample Alert

Possible Screen To Resolve This Alert

Action Required

Related Topics