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Procedures for Buy-In Queries Step 1: Verify that the QM, SR, or AZ program type is open. If there is not current case open, then the customer may need to re-apply. Note: a very, very small number of customers have AR/AX programs. Step 2: Verify that an active Medicaid program code appears on MEAE for the customer for the period in question. Step 3: Verify that the customer has Medicare Part B by checking the Option Code (under "Supplemental Medical Insurance" on the right of the BENDEX screen) is Y. (a) If the Premium Payer is 090, then the District is paying the premium or will shortly begin paying the premium. (b) If the Premium Payer is a number other than 090, then SSA is reporting that another state is paying the Part B premium; refer these cases to me. (c) If the Premium Payer is SELF, then continue with procedures below. Step 4: Verify that the following in BENDEX matches exactly the customer information on CAP2: (a) Date of birth (b) Sex (c) Spelling of last name (use spaces instead of hyphens) (d) Spelling of first name If necessary, please correct any customer information on CLIM. Step 5: Verify that the correct claim number (as it appears on BENDEX) has been entered on MEAE (or VIRE). Notes: Some customers have more than one claim number (e.g., widows/widowers, adult disabled children, Railroad beneficiaries, etc.), Forward these queries to Chris Proctor. Make sure that you are looking at the most current data, which you can verify by making sure that there is an entry on the CURRENT line. If not, just hit ENTER until you are back at the main menu, at which point you will enter "8" as the function.
Codes: If a 1728 code appears on the BUY-IN screen, then another state may be paying the Part B premium. If a 16 code appears on the Buy-In screen, then SSA believes the customer to be deceased. Please refer both types of cases to Chris Proctor. Other codes that may be helpful: 1751: ACEDS-initiated termination