BIL is a screen in IMS that shows the communication between the State of Oklahoma and CMS (Centers for Medicare and Medicaid Services) about paying a client’s Medicare premiums. The BIL screen will tell the worker if CMS is or is not accepting payments from OK. The most current information is on the top line.

To view this screen:

1. Login to IMS
2. Clear the screen
3. Type PY (space ) Social Security Number
4. ab down to BIL, type BIL next to that line and press ‘Enter’

If there is no BIL listed on the PY screen, clear the screen, and then type BIL (space) Social Security Claim Number and press ‘Enter’

HIST DATE:

Date information was posted to BIL

TYPE:

last action by either DHS or CMS

• AA = Part A Accretion (buy-in) Request from OK to CMS
• AC = Part B Accretion (buy-in) Request from OK to CMS
• DA = Part A Deletion request to CMS
• DE = Part B Deletion request to CMS
• BA = Part A Buy-in billing from CMS
• RA = Part A Response Record from CMS (will update with a rejection from CMS telling OK there is a problem with the request to pay the Part A premium)
• BI = Part B Buy-in billing from CMS (CMS accepted OK request for buy-in)
• RE = Part B Response Record from CMS (will update with a rejection from CMS telling OK there is a problem with the request to pay the PART-B premium)

SSN

= Social Security Number

SEX

= M (ale) or F (emale)

BIRTHDATE

= MMDDYY

AGY CD: Agency code

• S37 = Part A buy-in for Oklahoma
• 370 = Part B buy-in for Oklahoma

EL CODE:

Program under which client is receiving buy-in

• P/N = QMB
• L = SLMB
• U = QI-1

CMS code for buy-in eligibility based on SSI record

• A = Receiving SSI due to age
• B = Receiving SSI due to being blind
• D = Receiving SSI due to disability
• E = Receives SSP administered by SSA due to age
• F = Receives SSP administered by SSA due to being blind
• G = Receives SSP administered by SSA due to disability
• H = Recipient of a one-time payment due to age, being blind, or disability

TRAN CODE:

All transaction codes can be found here: BIL Transaction Codes

Most Common TRAN CODES:

• 11XX – Buy-in Accretion (CMS accepted OKDHS request to buy-in for this record)
• 41 – Ongoing Active Buy-in
• 21XX – Buy-in rejection (CMS rejected OKDHS request to buy-in for this record – check the case for issues)
• SUB CODES with rejections:
• A = Claim Number
• B= Demographic information (Case does not match what Medicare shows)
• 17XX – Buy-in deletion

TRAN DATE:

Effective Date (MMYY) of Transaction

BILL DATE:

Identifies the billing record on which this transaction is found

PREMIUM AMT:

amount to be paid to CMS or refunded back to OK, depending on TRAN CODE

• When TRAN CODE equals 11XX, 41, 43 OR 45, this is the premium amount paid by OK.
• When the TRAN CODE equals 15, 16, 17XX, 42 OR 44, this is the premium amount refunded to OK.

BILL START:

Billing period start date

BILL STOP:

Billing period stop date (this does not mean buy-in has stopped unless there is a deletion TRAN CODE)

REPLY DATE:

Date CMS created the billing record

REC ID

= Billing record identification code (related TRAN CODE):

• A = SSI ALERT RECORD. 86,87
• B = CMS BILLING RECORD. 11,14,15,16,17,30,32,41,42,43,44,45.
• C = CLAIM NUMBER CHANGE. 23
• D = CMS REPLY RECORD. 11,14,15,16,17,30,32,42,43.
• E = PERSONAL DATA CHANGE.
• F = CMS REJECT RECORD. 20,21,24,25,27,29,49.