CMS Pub. 100-06, ch. 6, § 440.9

B3-13450.9

A. Keying CMS-1564 - The carrier:

• Uses existing RLINK dialup instructions.

• Keys letter "K" to bring up blank CMS-1564.

• Enters valid 5 digit carrier number. It uses the tab key to move from column to column.

• Enters reporting period using numeric designation for month and year, e.g., 0102 for

January 2002.

• Enters two-position alpha State code.

• Completes each column of data. Fields with zero do not have to be keyed. System will

presume all blank fields to be zero.

• Does not key dollar signs or commas. Keys only whole dollar amounts.

• After completing the form, the carrier keys F1. System edits and prints any error messages

on the line above "contractor number." The carrier tabs to incorrect field and rekeys

correct entry. When form passes all edits, line will read "record has been written." Carrier

keys F4 to return to menu.

• To abort at any time without writing a record, the carrier keys F3 and refers to CICS

instructions.

• To verify that a report has been written, the carrier returns to the main menu (F4) and keys

"K" to bring up a blank form. It keys in contractor number, reporting period and State

code. It keys F7. Completed report should appear on the screen.

B. Edits for CMS-1564:

• A valid 5-digit carrier number is required.

• The default value for areas not keyed is zero.

• Appropriate reporting period (MMYY) is required.

• Two-position alpha State code required.

• Lines 1 + 3 + 5 must equal line 7 for all columns.

• Lines 2 + 4 + 6 must equal line 8 for all columns.

• Line 10 must be equal to or greater than line 9 for all columns, unless line 9 is zero. In that

case line 10 must also be zero.

• For each line of the report column I must equal the sum of columns ii + iii + iv + v + vi.