[Federal Register Volume 67, Number 15 (Wednesday, January 23, 2002)]
[Notices]
[Pages 3210-3218]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-1527]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services


Privacy Act of 1974; Report of Modified or Altered System

AGENCY: Department of Health and Human Services (HHS), Centers for 
Medicare & Medicaid Services (CMS) (formerly the Health Care Financing 
Administration).

ACTION: Notice of modified or altered System of Records (SOR).

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SUMMARY: In accordance with the requirements of the Privacy Act of 
1974, we are proposing to modify or alter a system of records, ``Common 
Working File (CWF),'' System No. 09-70-0526. We propose to delete 
published routine uses number 1 authorizing disclosure to claimants and 
their authorized representatives, number 3 authorizing disclosure to 
third party contacts to establish or verify information, number 4 
authorizing disclosure to the Treasury Department for investigating 
alleged theft, number 5 authorizing disclosure to the United States 
Postal Service (USPS), number 6 authorizing disclosure to the 
Department of Justice (DOJ) to combat fraud and abuse, number 7 
authorizing disclosure to the Railroad Retirement Board (RRB), number 9 
authorizing disclosure to State Licensing Board for review of unethical 
practices, number 12 authorizing disclosure to state welfare 
departments, number 14 authorizing disclosure to state audit agencies, 
number 16 authorizing disclosure to peer review groups to assist with 
questions of medical necessity, number 17 authorizing disclosure to 
physicians and other supplier of services attempting to validate 
amounts of individual items, number 18 authorizing disclosure to senior 
citizen volunteers to assist beneficiaries, number 19 authorizing 
disclosure to a contractor to recover erroneous Medicare payments, 
number 20 authorizing disclosure to state and other governmental 
Workers' Compensation Agencies, number 23 authorizing disclosure to an 
agency of a state government or established by law, and an unnumbered 
routine use authorizing disclosure to the Social Security 
Administration (SSA).
    Disclosures permitted under routine uses number 4, 5, 7, 9, 12, 14, 
20, 23, and to the SSA will be made a part of proposed routine use 
number 2. Proposed routine use number 2 will allow for release of 
information to ``another Federal and/or state agency, agency of a state 
government, an agency established by state law, or its fiscal agent.'' 
Disclosures permitted under published routine uses number 1, 2, 3, and 
18 will now be covered by proposed routine use number 3, which will 
allow for release of information to ``third party contacts.'' 
Disclosure to ``other insurers and group health plans'' contained in 
published routine use 21 has been broaden to include similar groups 
with similar activities. This routine use will be renumbered as 
proposed routine use number 6. Disclosures permitted under routine use 
number 6 will be covered by proposed routine use number 11, which will 
permit the release of data to other Federal agencies for the purposes 
of combating fraud and abuse. Disclosures permitted under routine use 
number 10 will be made a part of proposed routine use number 4, which 
will permit the release of data to physicians and providers of 
services. Routine use number 16 is being deleted because the 
information listed in the routine use as being releasable ``at the 
request of the carrier to assist in the resolution of questions of 
medical necessity, utilization and overutilization,'' is no longer 
maintained in the CWF. Routine use number 17 is also being deleted 
because the activity listed in the routine use unnecessarily duplicates 
activities described in proposed routine use number 4. Disclosures 
permitted under routine use number 19 will now be covered by proposed 
routine use number 10, which will permit the release of data to a CMS 
contractor or grantee for the purposes of combating fraud and abuse. We 
propose to renumber published routine use number 22 as proposed routine 
use number 1 and modify the language to clarify the circumstances for 
disclosure to contractors and consultants. We will establish a new 
proposed routine use number 9 to allow disclosure to DOJ for the 
purpose of representing Agency employees involved in litigation.
    The security classification previously reported as ``None'' will be 
modified to

[[Page 3211]]

reflect that the data in this system is considered to be ``Level Three 
Privacy Act Sensitive.'' We are modifying the language in the remaining 
routine uses to provide clarity to CMS's intention to disclose 
individual-specific information contained in this system. The routine 
uses will then be prioritized and reordered according to their usage. 
We will also take the opportunity to update any sections of the system 
that were affected by the recent reorganization and to update language 
in the administrative sections to correspond with language used in 
other CMS systems of records.
    The primary purpose of the system of records is to properly pay 
medical insurance benefits to or on behalf of entitled beneficiaries. 
Information in this system will also be released to: Support regulatory 
and policy functions performed within the Agency or by a contractor or 
consultant, another Federal or state agency, agency of a state 
government, an agency established by state law, or its fiscal agent, 
third party contacts, providers and suppliers of services directly or 
through fiscal intermediaries or carriers, Peer Review Organizations 
(PRO) and Quality Review Organizations (QRO), insurance companies and 
other groups providing protection for their enrollees, or who are 
primary payers to Medicare in accordance with 42 U.S.C. 1395y (b), an 
individual or organization for research, evaluation, or epidemiological 
projects, support constituent requests made to a congressional 
representative, support litigation involving the Agency related to this 
system of records, and combat fraud and abuse in certain Federally 
funded health care programs. We have provided background information 
about the modified system in the ``Supplementary Information'' section 
below. Although the Privacy Act requires only that CMS provide an 
opportunity for interested persons to comment on the proposed routine 
uses, CMS invites comments on all portions of this notice. See 
EFFECTIVE DATES section for comment period.

EFFECTIVE DATES: CMS filed a modified or altered system report with the 
Chair of the House Committee on Government Reform and Oversight, the 
Chair of the Senate Committee on Governmental Affairs, and the 
Administrator, Office of Information and Regulatory Affairs, Office of 
Management and Budget (OMB) on January 15, 2002. To ensure that all 
parties have adequate time in which to comment, the modified or altered 
system of records, including routine uses, will become effective 40 
days from the publication of the notice, or from the date it was 
submitted to OMB and the congress, whichever is later, unless CMS 
receives comments that require alterations to this notice.

ADDRESSES: The public should address comments to: Director, Division of 
Data Liaison and Distribution, CMS, Room N2-04-27, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850. Comments received will be 
available for review at this location, by appointment, during regular 
business hours, Monday through Friday from 9 a.m.-3 p.m., eastern time 
zone.

FOR FURTHER INFORMATION CONTACT: Richard Wolfsheimer, Health Insurance 
Specialist, Division of Fiscal Intermediary Systems and Common Working 
Files, Business Systems Operating Group, Office of Information 
Services, CMS, Room N2-09-27, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850. The telephone number is 410-786-6160.

SUPPLEMENTARY INFORMATION:

I. Description of the Modified System of Records

A. Statutory and Regulatory Basis For System of Records

    In 1988, CMS modified an SOR under the authority of sections 1816, 
and 1874 of Title XVIII of the Act (the Act) (42 United States Code 
(U.S.C.) 1395h, and 1395kk). Notice of the modification to this system, 
``Common Working Files, System No. 09-70-0526'' was published in the 
Federal Register (FR) at 53 FR 52806 (Dec. 29, 1988), an unnumbered 
routine use was added for the SSA at 61 FR 6645 (Feb. 21, 1996), three 
new fraud and abuse routine uses were added at 63 FR 38414 (July 16, 
1998), and then at 65 FR 50552 (Aug. 18, 2000), two of the fraud and 
abuse routine uses were revised and a third deleted.

II. Collection and Maintenance of Data in the System

A. Scope of the Data Collected

    The system contains information on Medicare beneficiaries, on whose 
behalf providers have submitted claims for reimbursement on a 
reasonable cost basis under Medicare Part A and B, or are eligible, 
and/or individuals whose enrollment in an employer group health 
benefits plan covers the beneficiary. Information contained in this 
system consist of billing for medical and other health care services, 
uniform bill for provider services or equivalent data in an electronic 
format, and MSP records containing other third party liability 
insurance information necessary for appropriate Medicare claims payment 
and other documents used to support payments to beneficiaries and 
providers of services. These forms contain the beneficiary's name, sex, 
health insurance claim number (HIC), address, date of birth, medical 
record number, prior stay information, provider name and address, 
physician's name, and/or identification number, warranty information 
when pacemakers are implanted or explanted, date of admission or 
discharge, other health insurance, diagnosis, surgical procedures, and 
a statement of services rendered for related charges and other data 
needed to substantiate claims.

B. Agency Policies, Procedures, and Restrictions on the Routine Use

    The Privacy Act permits us to disclose information without an 
individual's consent if the information is to be used for a purpose 
that is compatible with the purpose(s) for which the information was 
collected. Any such disclosure of data is known as a ``routine use.'' 
The government will only release CWF information that can be associated 
with an individual as provided for under ``Section III. Proposed 
Routine Use Disclosure of Data in the System.'' Both identifiable and 
non-identifiable data may be disclosed under a routine use. We will 
only disclose the minimum personal data necessary to achieve the 
purpose of CWF. CMS has the following policies and procedures 
concerning disclosures of information that will be maintained in the 
system. In general, disclosure of information from the system of 
records will be approved only for the minimum information necessary to 
accomplish the purpose of the disclosure only after CMS:
    1. Determines that the use or disclosure is consistent with the 
reason that the data is being collected, e.g., to properly pay medical 
insurance benefits to or on behalf of entitled beneficiaries.
    2. Determines:
    a. That the purpose for which the disclosure is to be made can only 
be accomplished if the record is provided in individually identifiable 
form;
    b. That the purpose for which the disclosure is to be made is of 
sufficient importance to warrant the effect and/or risk on the privacy 
of the individual that additional exposure of the record might bring; 
and
    c. That there is a strong probability that the proposed use of the 
data would in fact accomplish the stated purpose(s).
    3. Requires the information recipient to:
    a. Establish administrative, technical, and physical safeguards to 
prevent unauthorized use of disclosure of the record;

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    b. Remove or destroy at the earliest time all individually-
identifiable information; and
    c. Agree to not use or disclose the information for any purpose 
other than the stated purpose under which the information was 
disclosed.
    4. Determines that the data are valid and reliable.

III. Proposed Routine Use Disclosures of Data in the System

A. Entities Who May Receive Disclosures Under Routine Use

    These routine uses specify circumstances, in addition to those 
provided by statute in the Privacy Act of 1974, under which CMS may 
release information from the CWF without the consent of the individual 
to whom such information pertains. Each proposed disclosure of 
information under these routine uses will be evaluated to ensure that 
the disclosure is legally permissible, including but not limited to 
ensuring that the purpose of the disclosure is compatible with the 
purpose for which the information was collected. We propose to 
establish or modify the following routine use disclosures of 
information maintained in the system:
    1. To Agency contractors or consultants who have been engaged by 
the Agency to assist in accomplishment of a CMS function relating to 
the purposes for this system of records and who need to have access to 
the records in order to assist CMS.
    We contemplate disclosing information under this routine use only 
in situations in which CMS may enter into a contractual or similar 
agreement with a third party to assist in accomplishing a CMS function 
relating to purposes for this system of records.
    CMS occasionally contracts out certain of its functions when doing 
so would contribute to effective and efficient operations. CMS must be 
able to give a contractor or consultant whatever information is 
necessary for the contractor or consultant to fulfill its duties. In 
these situations, safeguards are provided in the contract prohibiting 
the contractor or consultant from using or disclosing the information 
for any purpose other than that described in the contract and requires 
the contractor or consultant to return or destroy all information at 
the completion of the contract.
    Carriers and intermediaries occasionally work with contractors to 
identify and recover erroneous Medicare payments for which workers' 
compensation programs are liable.
    2. To another Federal or state agency, agency of a state 
government, an agency established by state law, or its fiscal agent 
pursuant to agreements with CMS to:
    a. Contribute to the accuracy of CMS's proper payment of Medicare 
benefits,
    b. Enable such agency to administer a Federal health benefits 
program, or as necessary to enable such agency to fulfill a requirement 
of a Federal statute or regulation that implements a health benefits 
program funded in whole or in part with Federal funds, and/or
    c. Assist Federal/state Medicaid programs within the state.
    Other Federal or state agencies in their administration of a 
Federal health program may require CWF information for the purposes of 
determining, evaluating, and/or assessing cost, effectiveness, and/or 
the quality of health care services provided in the state, to support 
evaluations and monitoring of Medicare claims information of 
beneficiaries, including proper reimbursement for services provided.
    The Treasury Department may require CWF data for investigating 
alleged theft, forgery, or unlawful negotiation of Medicare 
reimbursement checks.
    The USPS may require CWF data for investigating alleged forgery or 
theft of reimbursement checks.
    The RRB requires CWF information to enable them to assist in the 
implementation and maintenance of the Medicare program.
    SSA requires CWF data to enable them to assist in the 
implementation and maintenance of the Medicare program.
    The Internal Revenue Service may require CWF data for the 
application of tax penalties against employers and employee 
organizations that contribute to Employer Group Health Plan or Large 
Group Health Plans that are not in compliance with 42 U.S.C. 1395y (b).
    Disclosure under this routine use shall be used by state Medicaid 
agencies pursuant to agreements with HHS for administration of state 
supplementation payments for determinations of eligibility for 
Medicaid, for enrollment of welfare recipients for medical insurance 
under section 1843 of the Act, for quality control studies, for 
determining eligibility of recipients of assistance under Titles IV, 
and XIX of the Act, and for the complete administration of the Medicaid 
program. CWF data will be released to the state only on those 
individuals who are patients under the services of a Medicaid program 
within the state or who are residents of that state.
    Occasionally state licensing boards require access to the CWF data 
for review of unethical practices or nonprofessional conduct.
    We also contemplate disclosing information under this routine use 
in situations in which state auditing agencies require CWF information 
for auditing of Medicare eligibility considerations. Disclosure of 
physicians' customary charge data are made to state audit agencies in 
order to ascertain the corrections of Title XIX charges and payments. 
CMS may enter into an agreement with state auditing agencies to assist 
in accomplishing functions relating to purposes for this system of 
records.
    State and other governmental workers' compensation agencies working 
with CMS to assure that workers' compensation payments are made where 
Medicare has erroneously paid and workers' compensation programs are 
liable.
    3. To third party contacts (without the consent of the individuals 
to whom the information pertains) in situations where the party to be 
contacted has, or is expected to have information relating to the 
individual's capacity to manage his or her affairs or to his or her 
eligibility for, or an entitlement to, benefits under the Medicare 
program and,
    a. The individual is unable to provide the information being sought 
(an individual is considered to be unable to provide certain types of 
information when any of the following conditions exists: the individual 
is confined to a mental institution, a court of competent jurisdiction 
has appointed a guardian to manage the affairs of that individual, a 
court of competent jurisdiction has declared the individual to be 
mentally incompetent, or the individual's attending physician has 
certified that the individual is not sufficiently mentally competent to 
manage his or her own affairs or to provide the information being 
sought, the individual cannot read or write, cannot afford the cost of 
obtaining the information, a language barrier exist, or the custodian 
of the information will not, as a matter of policy, provide it to the 
individual), or
    b. The data are needed to establish the validity of evidence or to 
verify the accuracy of information presented by the individual, and it 
concerns one or more of the following: The individual's entitlement to 
benefits under the Medicare program; and the amount of reimbursement; 
any case in which the evidence is being reviewed as a result of 
suspected fraud and abuse, program integrity, quality appraisal, or 
evaluation and measurement of program activities.

[[Page 3213]]

    Third parties contacts require CWF information in order to provide 
support for the individual's entitlement to benefits under the Medicare 
program; to establish the validity of evidence or to verify the 
accuracy of information presented by the individual or the 
representative of the applicant, and assist in the monitoring of 
Medicare claims information of beneficiaries, including proper 
reimbursement of services provided.
    Senior citizen volunteers working in the carriers and 
intermediaries' offices to assist Medicare beneficiaries' request for 
assistance may require access to CWF information.
    Occasionally fiscal intermediary/carrier banks, automated clearing 
houses, VANS, and provider banks, to the extent necessary transfer to 
providers electronic remittance advice of Medicare payments, and with 
respect to provider banks, to the extent necessary to provide account 
management services to providers using this information.
    4. To providers and suppliers of services dealing through fiscal 
intermediaries or carriers for the administration of Title XVIII of the 
Act.
    Providers and suppliers of services require CWF information in 
order to establish the validity of evidence, or to verify the accuracy 
of information presented by the individual as it concerns the 
individual's entitlement to benefits under the Medicare program, 
including proper reimbursement for services provided.
    Providers and suppliers of services who are attempting to validate 
items on which the amounts included in the annual Physician/Supplier 
Payment List, or other similar publications are based.
    5. To Peer Review Organizations (PRO) in connection with review of 
claims, or in connection with studies or other review activities, 
conducted pursuant to Part B of Title XI of the Act and in performing 
affirmative outreach activities to individuals for the purpose of 
establishing and maintaining their entitlement to Medicare benefits or 
health insurance plans.
    PROs will work to implement quality improvement programs, provide 
consultation to CMS, its contractors, and to state agencies. PROs will 
assist the state agencies in related monitoring and enforcement 
efforts, assist CMS and intermediaries in program integrity assessment, 
and prepare summary information for release to CMS.
    6. To insurance companies, underwriters, third party administrators 
(TPA), employers, self-insurers, group health plans, health maintenance 
organizations (HMO), health and welfare benefit funds, managed care 
organizations, other supplemental insurers, non-coordinating insurers, 
multiple employer trusts, liability insurers, no-fault medical 
automobile insurers, workers' compensation carriers or plans, other 
groups providing protection against medical expenses without the 
beneficiary's authorization, and any entity having knowledge of the 
occurrence of any event affecting (a) an individual's right to any such 
benefit or payment, or (b) the initial right to any such benefit or 
payment, for the purpose of coordination of benefits with the Medicare 
program and implementation of the MSP provision at 42 U.S.C. 1395y (b). 
Information to be disclosed shall be limited to Medicare utilization 
data necessary to perform that specific function. In order to receive 
the information, they must agree to:
    a. Certify that the individual about whom the information is being 
provided is one of its insured or employees, or is insured and/or 
employed by another entity for whom they serve as a TPA;
    b. Utilize the information solely for the purpose of processing the 
individual's insurance claims; and
    c. Safeguard the confidentiality of the data and prevent 
unauthorized access.
    Other insurers may require CWF information in order to support 
evaluations and monitoring of Medicare claims information of 
beneficiaries, including proper reimbursement for services provided.
    7. To an individual or organization for research, evaluation, or 
epidemiological projects related to the prevention of disease or 
disability, the restoration or maintenance of health, or payment 
related projects.
    The CWF data will provide for research, evaluations and 
epidemiological projects, a broader, longitudinal, national perspective 
of the status of Medicare beneficiaries. CMS anticipates that many 
researchers will have legitimate requests to use these data in projects 
that could ultimately improve the care provided to Medicare 
beneficiaries and the policy that governs the care.
    8. To a Member of Congress or congressional staff member in 
response to an inquiry of the congressional office made at the written 
request of the constituent about whom the record is maintained.
    Beneficiaries often request the help of a Member of Congress in 
resolving an issue relating to a matter before CMS. The Member of 
Congress then writes CMS, and CMS must be able to give sufficient 
information to be responsive to the inquiry.
    9. To the Department of Justice (DOJ), court or adjudicatory body 
when:
    a. The Agency or any component thereof, or
    b. Any employee of the Agency in his or her official capacity, or
    c. Any employee of the Agency in his or her individual capacity 
where the DOJ has agreed to represent the employee, or
    d. The United States Government,

is a party to litigation or has an interest in such litigation, and by 
careful review, CMS determines that the records are both relevant and 
necessary to the litigation and that the use of such records is deemed 
by the Agency to be for a purpose that is compatible with the purposes 
for which the Agency collected the records.
    Whenever CMS is involved in litigation, or occasionally when 
another party is involved in litigation and CMS's policies or 
operations could be affected by the outcome of the litigation, CMS 
would be able to disclose information to the DOJ, court or adjudicatory 
body involved.
    10. To a CMS contractor (including, but not limited to fiscal 
intermediaries and carriers) that assists in the administration of a 
CMS-administered health benefits program, or to a grantee of a CMS-
administered grant program, when disclosure is deemed reasonably 
necessary by CMS to prevent, deter, discover, detect, investigate, 
examine, prosecute, sue with respect to, defend against, correct, 
remedy, or otherwise combat fraud or abuse in such program.
    We contemplate disclosing information under this routine use only 
in situations in which CMS may enter into a contract or grant with a 
third party to assist in accomplishing CMS functions relating to the 
purpose of combating fraud and abuse.
    CMS occasionally contracts out certain of its functions when doing 
so would contribute to effective and efficient operations. CMS must be 
able to give a contractor or grantee whatever information is necessary 
for the contractor or grantee to fulfill its duties. In these 
situations, safeguards are provided in the contract prohibiting the 
contractor or grantee from using or disclosing the information for any 
purpose other than that described in the contract and requiring the 
contractor or grantee to return or destroy all information.
    11. To another Federal agency or to an instrumentality of any 
governmental jurisdiction within or under the control of the United 
States (including any state or local governmental agency), that 
administers, or that has the authority to

[[Page 3214]]

investigate potential fraud or abuse in a health benefits program 
funded in whole or in part by Federal funds, when disclosure is deemed 
reasonably necessary by CMS to prevent, deter, discover, detect, 
investigate, examine, prosecute, sue with respect to, defend against, 
correct, remedy, or otherwise combat fraud or abuse in such programs.
    Other agencies may require CWF information for the purpose of 
combating fraud and abuse in such Federally funded programs.

B. Additional Circumstances Affecting Routine Use Disclosures

    This SOR contains Protected Health Information as defined by HHS 
regulation ``Standards for Privacy of Individually Identifiable Health 
Information'' (45 CFR Parts 160 and 164, published at 65 FR 82462 (12-
28-00), as amended by 66 FR 12434 (2-26-01)). Disclosures of Protected 
Health Information authorized by these routine uses may only be made 
if, and as, permitted or required by the ``Standards for Privacy of 
Individually Identifiable Health Information.''
    In addition, our policy will be to prohibit release even of non-
identifiable data, except pursuant to one of the routine uses, if there 
is a possibility that an individual can be identified through implicit 
deduction based on small cell sizes (instances where the patient 
population is so small that individuals who are familiar with the 
enrollees could, because of the small size, use this information to 
deduce the identity of the beneficiary).

IV. Safeguards

A. Administrative Safeguards

    The CWF system will conform to applicable law and policy governing 
the privacy and security of Federal automated information systems. 
These include but are not limited to: The Privacy Act of 1974, Computer 
Security Act of 1987, the Paperwork Reduction Act of 1995, the Clinger-
Cohen Act of 1996, and the Office of Management and Budget (OMB) 
Circular A-130, Appendix III, ``Security of Federal Automated 
Information Resources.'' CMS has prepared a comprehensive system 
security plan as required by the OMB Circular A-130, Appendix III. This 
plan conforms fully to guidance issued by the National Institute for 
Standards and Technology (NIST) in NIST Special Publication 800-18, 
``Guide for Developing Security Plans for Information Technology 
Systems.'' Paragraphs A-C of this section highlight some of the 
specific methods that CMS is using to ensure the security of this 
system and the information within it.
    Authorized users: Personnel having access to the system have been 
trained in Privacy Act and systems security requirements. Employees and 
contractors who maintain records in the system are instructed not to 
release any data until the intended recipient agrees to implement 
appropriate administrative, technical, procedural, and physical 
safeguards sufficient to protect the confidentiality of the data and to 
prevent unauthorized access to the data. In addition, CMS is monitoring 
the authorized users to ensure against excessive or unauthorized use. 
Records are used in a designated work area or workstation and the 
system location is attended at all times during working hours.
    To assure security of the data, the proper level of class user is 
assigned for each individual user as determined at the Agency level. 
This prevents unauthorized users from accessing and modifying critical 
data. The system database configuration includes five classes of 
database users:
     Database Administrator class owns the database objects; 
e.g., tables, triggers, indexes, stored procedures, packages, and has 
database administration privileges to these objects;
     Quality Control Administrator class has read and write 
access to key fields in the database;
     Quality Indicator Report Generator class has read-only 
access to all fields and tables;
     Policy Research class has query access to tables, but are 
not allowed to access confidential individual identification 
information; and
     Submitter class has read and write access to database 
objects, but no database administration privileges.

B. Physical Safeguards

    All server sites have implemented the following minimum 
requirements to assist in reducing the exposure of computer equipment 
and thus achieve an optimum level of protection and security for the 
CWF system.
    Access to all servers is controlled, with access limited to only 
those support personnel with a demonstrated need for access. Servers 
are to be kept in a locked room accessible only by specified management 
and system support personnel. Each server requires a specific log-on 
process. All entrance doors are identified and marked. A log is kept of 
all personnel who were issued a security card, key and/or combination 
that grants access to the room housing the server, and all visitors are 
escorted while in this room. All servers are housed in an area where 
appropriate environmental security controls are implemented, which 
include measures implemented to mitigate damage to Automated 
Information System (AIS) resources caused by fire, electricity, water 
and inadequate climate controls.
    Protection applied to the workstations, servers and databases 
include:
     User Log-on--Authentication is performed by the Primary 
Domain Controller/Backup Domain Controller of the log-on domain.
     Workstation Names--Workstation naming conventions may be 
defined and implemented at the Agency level.
     Hours of Operation--May be restricted by Windows NT. When 
activated all applicable processes will automatically shut down at a 
specific time and not be permitted to resume until the predetermined 
time. The appropriate hours of operation are determined and implemented 
at the Agency level.
     Inactivity Log-out--Access to the NT workstation is 
automatically logged out after a specified period of inactivity.
     Warnings--Legal notices and security warnings display on 
all servers and workstations.
     Remote Access Services (RAS)--Windows NT RAS security 
handles resource access control. Access to NT resources is controlled 
for remote users in the same manner as local users, by utilizing 
Windows NT file and sharing permissions. Dial-in access can be granted 
or restricted on a user-by-user basis through the Windows NT RAS 
administration tool.
    C. Procedural Safeguards: All automated systems must comply with 
Federal laws, guidance, and policies for information systems security 
as stated previously in this section. Each automated information system 
should ensure a level of security commensurate with the level of 
sensitivity of the data, risk, and magnitude of the harm that may 
result from the loss, misuse, disclosure, or modification of the 
information contained in the system.

V. Effect of the Modified System of Records on Individual Rights

    CMS proposes to establish this system in accordance with the 
principles and requirements of the Privacy Act and will collect, use, 
and disseminate information only as prescribed therein. Data in this 
system will be subject to the authorized releases in accordance with 
the routine uses identified in this system of records.
    CMS will monitor the collection and reporting of CWF data. CWF 
information on individuals is completed

[[Page 3215]]

by contractor personnel and submitted to CMS through standard systems 
located at different locations. CMS will utilize a variety of onsite 
and offsite edits and audits to increase the accuracy of CWF data.
    CMS will take precautionary measures (see item IV. above) to 
minimize the risks of unauthorized access to the records and the 
potential harm to individual privacy or other personal or property 
rights. CMS will collect only that information necessary to perform the 
system's functions. In addition, CMS will make disclosure of 
identifiable data from the modified system only with consent of the 
subject individual, or his/her legal representative, or in accordance 
with an applicable exception provision of the Privacy Act.
    CMS, therefore, does not anticipate an unfavorable effect on 
individual privacy as a result of the disclosure of information 
relating to individuals.

    Dated: January 14, 2002.
Thomas A. Scully,
Administrator, Centers for Medicare & Medicaid Services.
09-70-0525

System Name:
    Common Working Files (CWF) System, HHS/CMS/OIS.

Security Classification:
    Level Three Privacy Act Sensitive.

System Location:
    CMS Data Center, 7500 Security Boulevard, North Building, First 
Floor, Baltimore, Maryland 21244-1850 and at CMS Regional Offices, CMS 
Intermediaries and Carriers, and at locations listed in Appendix A.

Categories of Individuals Covered by the System:
    The system contains information on Medicare beneficiaries, on whose 
behalf providers have submitted claims for reimbursement on a 
reasonable cost basis under Medicare Part A and B, or are eligible, 
and/or individuals whose enrollment in an employer group health 
benefits plan covers the beneficiary.

Categories of Records in the System:
    Information contained in this system consist of billing for medical 
and other health care services, uniform bill for provider services or 
equivalent data in an electronic format, and Medicare Secondary Payer 
(MSP) records containing other third party liability insurance 
information necessary for appropriate Medicare claims payment and other 
documents used to support payments to beneficiaries and providers of 
services. These forms contain the beneficiary's name, sex, health 
insurance claim number (HIC), address, date of birth, medical record 
number, prior stay information, provider name and address, physician's 
name, and/or identification number, warranty information when 
pacemakers are implanted or explanted, date of admission or discharge, 
other health insurance, diagnosis, surgical procedures, and a statement 
of services rendered for related charges and other data needed to 
substantiate claims.

Authority for Maintenance of the System:
    Authority for the maintenance of this system of records is given 
under the authority of sections 1816, and 1874 of Title XVIII of the 
Social Security Act (42 United States Code (USC) 1395h, and 1395kk).

Purpose(s):
    The primary purpose of the system of records is to properly pay 
medical insurance benefits to or on behalf of entitled beneficiaries. 
Information in this system will also be released to: support regulatory 
and policy functions performed within the Agency or by a contractor or 
consultant, another Federal or state agency, agency of a state 
government, an agency established by state law, or its fiscal agent, 
third party contacts, providers and suppliers of services directly or 
through fiscal intermediaries or carriers, Peer Review Organizations 
(PRO), insurance companies and other groups providing protection for 
their enrollees, or who are primary payers to Medicare in accordance 
with 42 U.S.C. 1395y (b), an individual or organization for research, 
evaluation, or epidemiological projects, support constituent requests 
made to a congressional representative, support litigation involving 
the agency related to this system of records, and combat fraud and 
abuse in certain Federally funded health care programs.

ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES 
OR USERS AND THE PURPOSES OF SUCH USES:
    These routine uses specify circumstances, in addition to those 
provided by statute in the Privacy Act of 1974, under which CMS may 
release information from the CWF without the consent of the individual 
to whom such information pertains. Each proposed disclosure of 
information under these routine uses will be evaluated to ensure that 
the disclosure is legally permissible, including but not limited to 
ensuring that the purpose of the disclosure is compatible with the 
purpose for which the information was collected. In addition, our 
policy will be to prohibit release even of non-identifiable data, 
except pursuant to one of the routine uses, if there is a possibility 
that an individual can be identified through implicit deduction based 
on small cell sizes (instances where the patient population is so small 
that individuals who are familiar with the enrollees could, because of 
the small size, use this information to deduce the identity of the 
beneficiary). This SOR contains Protected Health Information as defined 
by HHS regulation ``Standards for Privacy of Individually Identifiable 
Health Information'' (45 CFR parts 160 and 164, published at 65 FR 
82462 (12-28-00), as amended by 66 FR 12434 (2-26-01)). Disclosures of 
Protected Health Information authorized by these routine uses may only 
be made if, and as, permitted or required by the ``Standards for 
Privacy of Individually Identifiable Health Information.'' We propose 
to establish or modify the following routine use disclosures of 
information maintained in the system:
    1. To Agency contractors or consultants who have been engaged by 
the Agency to assist in accomplishment of a CMS function relating to 
the purposes for this system of records and who need to have access to 
the records in order to assist CMS.
    2. To another Federal or state agency, agency of a state 
government, an agency established by state law, or its fiscal agent 
pursuant to agreements with CMS to:
    a. Contribute to the accuracy of CMS's proper payment of Medicare 
benefits,
    b. Enable such agency to administer a Federal health benefits 
program, or as necessary to enable such agency to fulfill a requirement 
of a Federal statute or regulation that implements a health benefits 
program funded in whole or in part with Federal funds, and/or
    c. Assist Federal/state Medicaid programs within the state.
    3. To third party contacts (without the consent of the individuals 
to whom the information pertains) in situations where the party to be 
contacted has, or is expected to have information relating to the 
individual's capacity to manage his or her affairs or to his or her 
eligibility for, or an entitlement to, benefits under the Medicare 
program and,
    a. The individual is unable to provide the information being sought 
(an individual is considered to be unable to provide certain types of 
information when any of the following conditions exists: the individual 
is confined to a mental institution, a court of competent jurisdiction 
has appointed a guardian to manage the affairs of that individual, a

[[Page 3216]]

court of competent jurisdiction has declared the individual to be 
mentally incompetent, or the individual's attending physician has 
certified that the individual is not sufficiently mentally competent to 
manage his or her own affairs or to provide the information being 
sought, the individual cannot read or write, cannot afford the cost of 
obtaining the information, a language barrier exists, or the custodian 
of the information will not, as a matter of policy, provide it to the 
individual), or
    b. The data are needed to establish the validity of evidence or to 
verify the accuracy of information presented by the individual, and it 
concerns one or more of the following: the individual's entitlement to 
benefits under the Medicare program; and the amount of reimbursement; 
any case in which the evidence is being reviewed as a result of 
suspected fraud and abuse, program integrity, quality appraisal, or 
evaluation and measurement of program activities.
    4. To providers and suppliers of services dealing through fiscal 
intermediaries or carriers for the administration of Title XVIII of the 
Act.
    5. To Peer Review Organizations (PRO) in connection with review of 
claims, or in connection with studies or other review activities, 
conducted pursuant to Part B of Title XI of the Act and in performing 
affirmative outreach activities to individuals for the purpose of 
establishing and maintaining their entitlement to Medicare benefits or 
health insurance plans.
    6. To insurance companies, underwriters, third party administrators 
(TPA), employers, self-insurers, group health plans, health maintenance 
organizations (HMO), health and welfare benefit funds, managed care 
organizations, other supplemental insurers, non-coordinating insurers, 
multiple employer trusts, liability insurers, no-fault medical 
automobile insurers, workers' compensation carriers or plans, other 
groups providing protection against medical expenses without the 
beneficiary's authorization, and any entity having knowledge of the 
occurrence of any event affecting (a) an individual's right to any such 
benefit or payment, or (b) the initial right to any such benefit or 
payment, for the purpose of coordination of benefits with the Medicare 
program and implementation of the MSP provision at 42 U.S.C. 1395y (b). 
Information to be disclosed shall be limited to Medicare utilization 
data necessary to perform that specific function. In order to receive 
the information, they must agree to:
    a. Certify that the individual about whom the information is being 
provided is one of its insured or employees, or is insured and/or 
employed by another entity for whom they serve as TPA;
    b. Utilize the information solely for the purpose of processing the 
individual's insurance claims; and
    c. Safeguard the confidentiality of the data and prevent 
unauthorized access.
    7. To an individual or organization for research, evaluation, or 
epidemiological projects related to the prevention of disease or 
disability, the restoration or maintenance of health, or payment 
related projects.
    8. To a Member of Congress or congressional staff member in 
response to an inquiry of the congressional office made at the written 
request of the constituent about whom the record is maintained.
    9. To the Department of Justice (DOJ), court or adjudicatory body 
when:
    a. The Agency or any component thereof, or
    b. Any employee of the Agency in his or her official capacity, or
    c. Any employee of the Agency in his or her individual capacity 
where the DOJ has agreed to represent the employee, or
    d. The United States Government, is a party to litigation or has an 
interest in such litigation, and by careful review, CMS determines that 
the records are both relevant and necessary to the litigation and that 
the use of such records is deemed by the Agency to be for a purpose 
that is compatible with the purposes for which the Agency collected the 
records.
    10. To a CMS contractor (including, but not limited to fiscal 
intermediaries and carriers) that assists in the administration of a 
CMS-administered health benefits program, or to a grantee of a CMS-
administered grant program, when disclosure is deemed reasonably 
necessary by CMS to prevent, deter, discover, detect, investigate, 
examine, prosecute, sue with respect to, defend against, correct, 
remedy, or otherwise combat fraud or abuse in such program.
    11. To another Federal agency or to an instrumentality of any 
governmental jurisdiction within or under the control of the United 
States (including any state or local governmental agency), that 
administers, or that has the authority to investigate potential fraud 
or abuse in a health benefits program funded in whole or in part by 
Federal funds, when disclosure is deemed reasonably necessary by CMS to 
prevent, deter, discover, detect, investigate, examine, prosecute, sue 
with respect to, defend against, correct, remedy, or otherwise combat 
fraud or abuse in such programs.

POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING, 
AND DISPOSING OF RECORDS IN THE SYSTEM:
Storage:
    Records are maintained on paper, computer diskette and on magnetic 
storage media.

Retrievability:
    Information can be retrieved by the beneficiary's name, HIC, and 
assigned unique physician identification number.

Safeguards:
    CMS has safeguards for authorized users and monitors such users to 
ensure against excessive or unauthorized use. Personnel having access 
to the system have been trained in the Privacy Act and systems security 
requirements. Employees who maintain records in the system are 
instructed not to release any data until the intended recipient agrees 
to implement appropriate administrative, technical, procedural, and 
physical safeguards sufficient to protect the confidentiality of the 
data and to prevent unauthorized access to the data.
    In addition, CMS has physical safeguards in place to reduce the 
exposure of computer equipment and thus achieve an optimum level of 
protection and security for the CWF system. For computerized records, 
safeguards have been established in accordance with the Department of 
Health and Human Services (HHS) standards and National Institute of 
Standards and Technology guidelines, e.g., security codes will be used, 
limiting access to authorized personnel. System securities are 
established in accordance with HHS, Information Resource Management 
(IRM) Circular #10, Automated Information Systems Security Program; CMS 
Automated Information Systems (AIS) Guide, Systems Securities Policies, 
and OMB Circular No. A-130 (revised) Appendix III.

Retention and Disposal:
    Records are maintained in a secure storage area with identifiers. 
Records are closed at the end of the calendar year in which paid, held 
2 additional years, transferred to Federal records center and destroyed 
after another 2 years.

System Managers and Address:
    Director, Division of Intermediary and Fiscal Systems, Business 
Systems Operations Group, Office of Information Services, CMS, 7500 
Security Boulevard, Room N2-09-27, Baltimore, Maryland 21244-1850.

[[Page 3217]]

Notification Procedure:
    For purpose of access, inquiries should addressed to the social 
security office nearest the requester's residence, the appropriate 
intermediary, the CMS regional office, or write to the system manager 
listed above. The entity contacted will require the system name, HIC, 
address, date of birth, and sex, and for verification purposes, the 
subject individual's name (woman's maiden name, if applicable), and 
social security number (SSN). Furnishing the SSN is voluntary, but it 
may make searching for a record easier and prevent delay.

Record Access Procedure:
    For purpose of access, use the same procedures outlined in 
Notification Procedures above. Requestors should also reasonably 
specify the record contents being sought. (These procedures are in 
accordance with Department regulation 45 Code of Federal Regulations 
(CFR) 5b.5(a)(2)).

Contesting Record Procedures:
    The subject individual should contact the system manager named 
above, and reasonably identify the record and specify the information 
to be contested. State the corrective action sought and the reasons for 
the correction with supporting justification. (These procedures are in 
accordance with Department regulation 45 CFR 5b.7).

Record Source Categories:
    Sources of information contained in this records system is 
furnished by the individual. In most cases, the identifying information 
is provided to the physician by the individual. Information is obtained 
from other CMS systems of records and data systems: Health Insurance 
Master Record, Intermediary Medicare Claims Records, Carrier Medicare 
Claims Records, MSP Record, Third Party Liability Record, Medicare 
Entitlement Record, Health Maintenance Organization Record, Hospice 
Record, and in the case of some MSP situations, through third party 
contacts. The medical information is provided by the providers of 
medical services.

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS OF THE ACT:
    None.

Appendix A. Health Insurance Claims

    Medicare records are maintained at the HCFA Central Office (see 
section 1 below for the address). Health Insurance Records of the 
Medicare program can also be accessed through a representative of 
the HCFA Regional Office (see section 2 below for addresses). 
Medicare claims records are also maintained by private insurance 
organizations who share in administering provisions of the health 
insurance programs. These private insurance organizations, referred 
to as carriers and intermediaries, are under contract to the Health 
Care Financing Administration and the Social Security Administration 
to perform specific task in the Medicare program (see section three 
below for addresses for intermediaries, section four addresses the 
carriers, and section five addresses the Payment Safeguard 
Contractors.

1. Central Office Address

    HCFA Data Center, 7500 Security Boulevard, North Building, First 
Floor, Baltimore, Maryland 21244-1850.

2. HCFA Regional Offices

    Boston Region--Connecticut, Maine, Massachusetts, New Hampshire, 
Rhode Island, Vermont. John F. Kennedy Federal Building, Room 1211, 
Boston, Massachusetts 02203. Office Hours: 8:30 a.m.-5 p.m.
    New York Region--New Jersey, New York, Puerto Rico, Virgin 
Islands. 26 Federal Plaza, Room 715, New York, New York 10007, 
Office Hours: 8:30 a.m.-5 p.m.
    Philadelphia Region--Delaware, District of Columbia, Maryland, 
Pennsylvania, Virginia, West Virginia. Post Office Box 8460, 
Philadelphia, Pennsylvania 19101. Office Hours:8:30 a.m.-5 p.m.
    Atlanta Region--Alabama, North Carolina, South Carolina, 
Florida, Georgia, Kentucky, Mississippi, Tennessee. 101 Marietta 
Street, Suite 702, Atlanta, Georgia 30223, Office Hours: 8:30 a.m.-
4:30 p.m.
    Chicago Region--Illinois, Indiana, Michigan, Minnesota, Ohio, 
Wisconsin. Suite A-824, Chicago, Illinois 60604. Office Hours: 8 
a.m.-4:45 p.m.
    Dallas Region--Arkansas, Louisiana, New Mexico, Oklahoma, Texas, 
1200 Main Tower Building, Dallas, Texas. Office Hours: 8 a.m.-4:30 
p.m.
    Kansas City Region--Iowa, Kansas, Missouri, Nebraska. New 
Federal Office Building, 601 East 12th Street--Room 436, Kansas 
City, Missouri 64106. Office Hours: 8 a.m.-4:45 p.m.
    Denver Region--Colorado, Montana, North Dakota, South Dakota, 
Utah, Wyoming. Federal Office Building, 1961 Stout St--Room 1185, 
Denver, Colorado 80294. Office Hours: 8 a.m.-4:30 p.m.
    San Francisco Region--American Samoa, Arizona, California, Guam, 
Hawaii, Nevada. Federal Office Building, 10 Van Ness Avenue, 20th 
Floor, San Francisco, California 94102. Office Hours: 8 a.m.-4:30 
p.m.
    Seattle Region--Alaska, Idaho, Oregon, Washington. 1321 Second 
Avenue, Room 615, Mail Stop 211, Seattle, Washington 98101. Office 
Hours 8 a.m.-4:30 p.m.

3. Intermediary Addresses (Hospital Insurance)

    Medicare Coordinator, Assoc. Hospital Serv. Maine (ME BC), 2 
Gannett Drive South, Portland, ME 04106-6911.
    Medicare Coordinator, Anthem New Hampshire, 300 Goffs Falls 
Road, Manchester, NH 03111-0001.
    Medicare Coordinator, BC/BS Rhode Island (RI BC), 444 
Westminster Street, Providence, RI 02903-3279.
    Medicare Coordinator, Empire Medicare Services, 400 S. Salina 
Street, Syracuse, NY 13202.
    Medicare Coordinator, Cooperativa, P.O. Box 363428, San Juan, PR 
00936-3428.
    Medicare Coordinator, Maryland B/C, P.O. Box 4368, 1946 
Greenspring Ave., Timonium, MD 21093.
    Medicare Coordinator, Highmark, P5103, 120 Fifth Avenue Place, 
Pittsburgh, PA 15222-3099.
    Medicare Coordinator, United Government Services, 1515 N. 
Rivercenter Dr., Milwaukee, WI 53212.
    Medicare Coordinator, Alabama B/C, 450 Riverchase Parkway East, 
Birmingham, AL 35298.
    Medicare Coordinator, Florida B/C, 532 Riverside Ave., 
Jacksonville, FL 32202-4918.
    Medicare Coordinator, Georgia B/C, P.O. Box 9048, 2357 Warm 
Springs Road, Columbus, GA 31908.
    Medicare Coordinator, Mississippi B/C {time}  MS, P.O. Box 
23035, 3545 Lakeland Drive, Jackson, MI 39225-3035.
    Medicare Coordinator, North Carolina B/C, P.O. Box 2291, Durham, 
NC 27702-2291.
    Medicare Coordinator, Palmetto GBA A/RHHI, 17 Technology Circle, 
Columbia, SC 29203-0001.
    Medicare Coordinator, Tennessee B/C, 801 Pine Street, 
Chattanooga, TN 37402-2555.
    Medicare Coordinator, Anthem Insurance Co. (Anthm In), P.O. Box 
50451, 8115 Knue Road, Indianapolis, IN 46250-1936.
    Medicare Coordinator, Arkansas B/C, 601 Gaines Street, Little 
Rock, AR 72203.
    Medicare Coordinator, Group Health of Oklahoma, 1215 South 
Boulder, Tulsa, OK 74119-2827.
    Medicare Coordinator, TrailBlazer, P.O. Box 660156, Dallas, TX 
75266-0156.
    Medicare Coordinator, Cahaba GBA, Station 7, 636 Grand Avenue, 
Des Moines, IA 50309-2551.
    Medicare Coordinator, Kansas B/C, P.O. Box 239, 1133 Topeka 
Ave., Topeka, KS 66629-0001.
    Medicare Coordinator, Nebraska B/C, P.O. BOX 3248, Main PO 
Station, Omaha, NE 68180-0001.
    Medicare Coordinator, Mutual of Omaha, P.O. Box 1602, Omaha, NE 
68101.
    Medicare Coordinator, Montana B/C, P.O. Box 5017, Great Falls 
Div., Great Falls, MT 59403-5017.
    Medicare Coordinator, Noridian, 4510 13th Avenue S.W., Fargo, ND 
58121-0001.
    Medicare Coordinator, Utah B/C, P.O. Box 30270, 2455 Parleys 
Way, Salt Lake City, UT 84130-0270.
    Medicare Coordinator, Wyoming B/C, 4000 House Avenue, Cheyenne, 
WY 82003.
    Medicare Coordinator, Arizona B/C, P.O. Box 37700, Phoenix, AZ 
85069.
    Medicare Coordinator, UGS, P.O. Box 70000, Van Nuys, CA 91470-
0000.
    Medicare Coordinator, Regents BC, P.O. Box 8110 M/S D-4A, 
Portland, OR 97207-8110.
    Medicare Coordinator, Premera BC, P.O. Box 2847, Seattle, WA 
98111-2847.

4. Medicare Carriers

    Medicare Coordinator, NHIC, 75 Sargent William Terry Drive, 
Hingham, MA 02044.

[[Page 3218]]

    Medicare Coordinator, B/S Rhode Island (RI BS), 444 Westminster 
Street, Providence, RI 02903-2790.
    Medicare Coordinator, Trailblazer Health Enterprises, Meriden 
Park, 538 Preston Ave., Meriden, CT 06450.
    Medicare Coordinator, Upstate Medicare Division, 11 Lewis Road, 
Binghamton, NY 13902.
    Medicare Coordinator, Empire Medicare Services, 2651 Strang 
Blvd., Yorktown Heights, NY, 10598.
    Medicare Coordinator, Empire Medicare Services, NJ, 300 East 
Park Drive, Harrisburg, PA 17106.
    Medicare Coordinator, Triple S, #1441 F.D., Roosvelt Ave., 
Guaynabo, PR 00968.
    Medicare Coordinator, Group Health Inc., 4th Floor, 88 West End 
Avenue, New York, NY 10023.
    Medicare Coordinator, Highmark, P.O. Box 89065, 1800 Center 
Street, Camp Hill, PA 17089-9065.
    Medicare Coordinator, Trailblazers Part B, 11150 McCormick 
Drive, Executive Plaza 3 Suite 200, Hunt Valley, MD 21031.
    Medicare Coordinator, Trailblazer Health Enterprises, Virginia, 
P.O. Box 26463, Richmond, VA 23261-6463. United Medicare 
Coordinator, Tricenturion, 1 Tower Square, Hartford, CT 06183.
    Medicare Coordinator, Alabama B/S, 450 Riverchase Parkway East, 
Birmingham, AL 35298.
    Medicare Coordinator, Cahaba GBA, 12052 Middleground Road, Suite 
A, Savannah, GA 31419.
    Medicare Coordinator, Florida B/S, 532 Riverside Ave, 
Jacksonville, FL 32202-4918.
    Medicare Coordinator, Administar Federal, 9901 Linnstation Road, 
Louisville, KY 40223.
    Medicare Coordinator, Palmetto GBA, 17 Technology Circle, 
Columbia, SC 29203-0001.
    Medicare Coordinator, CIGNA, 2 Vantage Way, Nashville, TN 37228.
    Medicare Coordinator, Railroad Retirement Board, 2743 Perimeter 
Parkway, Building 250, Augusta, GA 30999.
    Medicare Coordinator, Cahaba GBA, Jackson Miss, P.O. Box 22545, 
Jackson, MS 39225-2545.
    Medicare Coordinator, Adminastar Federal (IN), 8115 Knue Road, 
Indianapolis, IN 46250-1936.
    Medicare Coordinator, Wisconsin Physicians Service, P.O. Box 
8190, Madison, WI 53708-8190.
    Medicare Coordinator, Nationwide Mutual Insurance Co., P.O. Box 
16788, 1 Nationwide Plaza, Columbus, OH 43216-6788.
    Medicare Coordinator, Arkansas B/S, 601 Gaines Street, Little 
Rock, AR 72203.
    Medicare Coordinator, Arkansas-New Mexico, 601 Gaines Street, 
Little Rock, AR 72203.
    Medicare Coordinator, Palmetto GBA--DMERC, 17 Technology Circle, 
Columbia, SC 29203-0001.
    Medicare Coordinator, Trailblazer Health Enterprises, 901 South 
Central Expressway, Richardson, TX 75080.
    Medicare Coordinator, Nordian, 636 Grand Avenue, Des Moines, IA 
50309-2551.
    Medicare Coordinator, Kansas B/S, P.O. Box 239, 1133 Topeka 
Ave., Topeka, KS 66629-0001.
    Medicare Coordinator, Kansas B/S--NE, P.O. Box 239, 1133 Topeka 
Ave., Topeka, KS 66629-0239.
    Medicare Coordinator, Montana B/S, P.O. Box 4309, Helena, MT 
59601.
    Medicare Coordinator, Nordian, 4305 13th Avenue South, Fargo, ND 
58103-3373.
    Medicare Coordinator, Noridian Bcbsnd (CO), 730 N. Simms #100, 
Golden, CO 80401-4730.
    Medicare Coordinator, Noridian Bcbsnd (WY), 4305 13th Avenue 
South, Fargo, ND 58103-3373.
    Medicare Coordinator, Utah B/S, P.O. Box 30270, 2455 Parleys 
Way, Salt Lake City, UT 84130-0270.
    Medicare Coordinator, Transamerica Occidental, P.O. Box 54905, 
Los Angeles, CA 90054-4905.
    Medicare Coordinator, NHIC--California, 450 W. East Avenue, 
Chico, CA 95926.
    Medicare Coordinator, Cigna, Suite 254, 3150 Lakeharbor, Boise, 
ID 83703.
    Medicare Coordinator, Cigna, Suite 506, 2 Vantage Way, 
Nashville, TN 37228.

Payment Safeguard Contractors

    Medicare Coordinator, Aspen Systems Corporation, 2277 Research 
Blvd., Rockville, MD 20850.
    Medicare Coordinator, DynCorp Electronic Data Systems (EDS), 
11710 Plaza America Drive 5400 Legacy Drive, Reston, VA 20190-6017.
    Medicare Coordinator, Lifecare Management Partners Mutual of 
Omaha Insurance Co., 6601 Little River Turnpike, Suite 300, Mutual 
of Omaha Plaza, Omaha, NE 68175.
    Medicare Coordinator, Reliance Safeguard Solutions, Inc., P.O. 
Box 30207, 400 South Salina Street, 2890 East Cottonwood Pkwy., 
Syracuse, NY 13202.
    Medicare Coordinator, Science Applications International, Inc., 
6565 Arlington Blvd. P.O. Box 100282, Falls Church, VA.
    Medicare Coordinator, California Medical Review, Inc., 
Integriguard Division Federal Sector Civil Group, One Sansome 
Street, San Francisco, CA 94104-4448.
    Medicare Coordinator, Computer Sciences Corporation, Suite 600, 
3120 Timanus Lane, Baltimore, MD 21244.
    Medicare Coordinator, Electronic Data Systems (EDS), 11710 Plaza 
America Drive, 5400 Legacy Drive, Plano, TX 75204.
    Medicare Coordinator, TriCenturion, L.L.C., P.O. Box 10028.

[FR Doc. 02-1527 Filed 1-22-02; 8:45 am]
BILLING CODE 4120-03-U