TN 13 (05-03)

A. Introduction - FODRL

The FODRL controls the receipt of fees, savings bonds as conserved funds, CMS lockbox premium payments, unendorsed returned benefit checks, returned benefit checks voided under limited payability, returned Medicare contractor's checks and Medicare overpayment refunds.

B. Process - FODRL

The FODRL is generated by the automated system based on remittance clerk or FO management request. It is a printed listing of the remittances for which automated FO receipts were issued that day and which require special handling. The FODRL will only print for days that receipts are produced in the FO.

Because the FODRL is the only internal control showing that returned checks reach the remittance supervisor, the remittance clerk and the remittance supervisor should sign and print their name and title on the form, and retain for one year, long enough to be helpful in the event that returned checks do not reach the Treasury Department unnegotiated. Destroy the form after one year.

When receipts are not produced (no remittances or returned checks received), the FO should print the screen shot. The remittance clerk and the remittance supervisor should sign and print their name and title on the printed screen shot. File the screen shot within the FODRL log for the one year requirement.

Do not send copies of the FODRL or screen shot to the MATPSC, or anyplace else.

C. Exhibit - FO Daily Receipt Listing

FO CODE: 100 FIELD OFFICE DAILY RECEIPT LISTING    PAGE 001

                                                   073099

ACCT ID   NAME     RECEIPT    # #  OF    REMIT  AMT  CREDIT AMT   T   R

       LAST  FST              ACCTS             P    C

010256931A  DART JIM   90211100006  01   50.00   50.00   C   H

005104472C1  KINER RAL   90211100012  01    5.00    5.00  C  F

178324406B  PASKOW MIC   90211100013  01  100.00  100.00   C  P

200344384A  TURNER TIN   90211100020  01  200.00  200.00   C  B

****FO REMITTANCE TRANSMITTAL GENERATED FOR PC 2

****CREDIT CARD FO REMITTANCE TRANSMITTAL GENERATED FOR PC 2

***********************************END OF REPORT*******************

FO SIGNATURE                          TITLE (Remittance Clerk)      

NAME (print)                       

FO SIGNATURE                       TITLE           

NAME (print)                    

D. References

• How to request the FO Daily Receipt Listing and an explanation of its contents, MSOM DMS 004.009

• Processing Fees Received in the FO, GN 02403.012.

• Processing Savings Bonds Received as Conserved Funds in the FO, GN 02403.015.

• Processing Credit Card Payments Received in the FO, GN 02403.006D.

• Processing Medicare Premium Remittances Received in the FO, GN 02403.030.

• Processing Unendorsed Returned Benefit Checks, GN 02405.000.

• Limited Payability - Voiding Returned Benefit Checks More Than a Year Old, GN 02405.300.

• Process Returned Medicare Contractor's Checks and Medicare Overpayment Refunds Received in the FO, GN 02403.040.