CMS Pub. 100-06, ch. 6, § 80.9

A3-3899.9

A. Keying CMS-1563

• The intermediary uses existing RLINK dialup instructions.

• The intermediary keys the letter "L" to bring up blank CMS-1563.

• The intermediary enters a valid 5 digit intermediary number. It uses the tab key to move

from column to column.

• The intermediary enters the reporting period using numeric designation month and year,

e.g., 0102 for January 2002.

• The intermediary enters two-position alpha State code.

• The intermediary completes each column of data. Fields with zero need not be keyed. The

system will presume all blank fields to be zero.

• The intermediary does not key dollar signs or commas in money fields. It keys only whole

dollar amounts.

• After completing the form, the intermediary keys F1. The system will edit and print any

error messages on the line above "contractor number." The intermediary tabs to the

incorrect field and rekeys a correct entry. When the form passes all edits, the line will read

"record has been written." The intermediary keys F4 to return to the menu.

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

instructions.

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

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

code. It keys F7. The completed report appears on the screen.

B. Edits for CMS-1563

• A valid 5-digit intermediary number is required.

• The default value for areas not keyed is zero.

• Appropriate reporting period (MMYY) is required.

• Two-position alpha State code is 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.