Error Files

9.5.3 – Error Files (Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19) The CMS established RAC workload limits for maximum number of claim adjustments the RAC shall send to the MAC in a calendar month. It is assumed that the majority of adjustments will be processed through the mass adjustment system. In some cases, claims submitted through the mass adjustment system cannot be processed due to a submission error and are identified on an error report. The RAC shall review the report, make the necessary changes, and resubmit the claim. In these situations, the MAC shall not count claims identified on error files, corrected and resubmitted by the RAC in the same month against the monthly workload twice.