Federal (United States) · Agency guidance
Chapter 27
60 sections
60 sections
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 10General Information About the Common Working File (CWF)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20Common Working File (CWF) Operations
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.1Communication between Host and MAC’s Jurisdiction Sector
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.2Records received by the CWF Hosts
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.2.1Beneficiary Data Streamlining (BDS)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.2.2Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.2.3Adjustments/Cancels to Posted Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.2.4Claim Maintenance Records
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3Records received from the CWF Hosts
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.1BDS Basic Reply
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.2Claims Basic Reply
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.2.1Accepted (as is) for Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.2.2Adjusted and Then Accepted for Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.2.3Cancel/Void Claim Accepted
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.2.4Rejected
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3Not in Host's File (NIF)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3.1Disposition Code 50 (Not in File)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3.2Disposition Code 51 (True Not in File on CMS BatchSystem)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3.3Disposition Code 52 (Beneficiary Record at another Host)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3.4Disposition Code 53 (Record in CMS Alpha Match)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3.5Disposition Code 54 (Matched to Cross-referenced HICN)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3.6Disposition Code 55 (Personal Characteristic Mismatch)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.3.7Disposition Code 56 (MBI/HICN Mismatch)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.4Claim Maintenance Records Basic Reply
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.5Unsolicited Response/Informational Unsolicited Response
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 30Reviewing the Beneficiary and Claim(s) Information
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 30.1Online Health Insurance Master Record (HIMR) Display
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 30.2CWF Provider Queries - Online Eligibility Information for
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 30.3Online Reporting (ORPT) System Display
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 40Requesting Assistance in Resolving CWF Utilization
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 40.1Requesting Assistance in Resolving CWF Utilization Problems
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 40.2Social Security Administration (SSA) Involvement
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 40.3Critical Case Procedure - Establishing Entitlement
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 40.4Referral of Critical Cases to the Regional Office
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 50Requesting or Providing Assistance to Resolve CWF Rejects
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 50.1Requesting A/B MAC or DME MAC Action
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 50.2Assisting A/B MAC or DME MAC Action
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 50.3Format for Requesting Assistance From Another A/B MAC or
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 60Paying Claims Outside of CWF
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 60.1Requesting to Pay Claims Outside of CWF
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 60.2Procedures for Paying Claims Outside of CWF
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 60.3Contractor Monthly Reports of Claims Paid Outside of CWF
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 70Change Control Procedures
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 70.1MAC Procedure
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 70.2Process Flow of a Change Request
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 70.3Handling Emergency Problems and Problems With Recent CWF
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 70.4Distribution of "CWF Change Control" Reports
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 70.5Channels of Communication
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 70.6Schedule of CWF Software Releases
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80Processing Disposition and Error Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.1Disposition Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.2Error Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.3Beneficiary Other Insurance Information (HUBO) Maintenance
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.4Consolidated Claims Crossover Process
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.5Claims Crossover Disposition and Coordination of Benefits
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.6Special Mass Adjustment and Other Adjustment Crossover
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.7Coordination of Benefits Agreement (COBA) Medigap Claim-
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.8Inclusion and Exclusion of Specified Categories of Adjustment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.9Health Insurance Portability and Accountability Act (HIPAA)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 80.10Inclusion and Exclusion of Specified Part B Claims for