Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 30

A/B MAC (B) Distribution of Limit Amounts

Last amended: 2003Year: 2003Length: 138 wordsOfficial source
30 - A/B MAC (B) Distribution of Limit Amounts (Rev. 1, 10-01-03) The A/B MACs (A) get drug prices from the A/B MAC (B) for drugs not listed on the SDP. A/B MACs (B) prepare a list of the drug payment allowance limits updates (or new file depending upon local requirements) to the claims system. A/B MACs (B) distribute, free of charge, the updated limits in an agreed upon format directly to the A/B MACs (A) in their jurisdiction. A/B MACs (B) should contact each A/B MAC (A) to determine the preferred method of transmission. A/B MACs (B) are to send this information to all A/B MACs (A) they routinely deal with. If this method of obtaining payment allowance updates does not work for any A/B MAC (A), the A/B MAC (B) must contact the appropriate RO office.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 30: A/B MAC (B) Distribution of Limit Amounts | Justis AI