US · guidance
CMS Pub. 100-04, ch. 21, § 10.2
Correction/Reissuance of Faulty MSNs
Occasionally programming errors will occur which cause inaccuracies on MSNs that do
not materially affect benefits. An example of a potential programming error could be one
data column writing in another data column. So long as the claims are correctly paid and
the notice is intelligible, it is not necessary to identify the impacted MSNs or reissue
them. The resources to identify and reissue all of the documents would not be justified.
In situations where MACs feel reissuance is absolutely necessary, they must work with
their regional office to identify costs involved before proceeding. When such problems
occur, MACs must take actions that will inform beneficiaries of the situation. These
actions should fall within the framework of routine operations. Such actions include, but
are not limited to, fielding calls from beneficiaries and alerting customer service
representatives of the situation and posting an alert on MACs’ Web sites. While not all
of these solutions may be possible, MACs should take the most appropriate steps to best
mitigate the potential confusion, but not incur special costs. Any communication
regarding this type of situation should convey that it was a temporary programming error,
which has been fixed, and is believed not to have affected the beneficiary’s benefits.
A beneficiary may call the MAC to request a copy of the MSN with the correct
information. In such cases, the MAC will provide one.
History
(Rev. 159, 04-30-04)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
20691d2191a8cdf3b0293202f5ae990bc68d8425b4964206645debcffdbfb0fc
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