Claims Processing Instructions for CAP Claims for the A/B

100.2 - Claims Processing Instructions for CAP Claims for the A/B MACs (B) (Rev. 1412, Issued: 01-11-08, Effective: 01-01-08, Implementation: 04-07-08) The A/B MAC (B) shall not process CAP claims submitted for United Mine Worker or Medicare Advantage or Railroad Board beneficiaries. A/B MACs (B) shall follow normal procedures for the disposition of these claims. A/B MACs (B) shall pay for the administration of the drugs for which physicians have elected to receive under CAP. CAP claims are required to comply with Medicare rules and requirements for modifiers and other supporting information unless specific exceptions are made. The A/B MACs (B) shall process CAP claims from physicians per the following instructions.