MAC (Part B) Indicators for the Common Working File (CWF)

10.2.5.1 - MAC (Part B) Indicators for the Common Working File (CWF) (Rev. 11362; Issued: 04-22-22; Effective: 01-11-22; Implementation:07-05-22) The MAC (Part B) record submitted to CWF must contain the following indicators: Description Payment Indicator Payment Deductible Indicator Deductible Type of Service Pneumococcal “1” 100 percent “1” Zero deductible “V” Influenza “1” 100 percent “1” Zero deductible “V” Hepatitis B “1” 100 percent “1” Zero deductible "9" COVID-19 “1” 100 percent “1” Zero deductible “V” A payment indicator of “1” represents 100 percent payment. A deductible indicator of “1” represents a zero deductible. A payment indicator of “0” represents 80 percent payment. A deductible indicator of “0” indicates that a deductible applies to the claim. The record must also contain a “V” in the type of service field, which indicates that this is a pneumococcal, influenza virus, or COVID-19 vaccine. MACs (Part B) use a “1” in the type of service field, which indicates medical care for a hepatitis B vaccine.