Medicare Claims Processing Manual (Pub. 100-04), Ch. 22 § 40.4
Medicare Standard Electronic PC-Print Software for Institutional
40.4 - Medicare Standard Electronic PC-Print Software for Institutional
Providers
(Rev. 3288, Issued: 07-02-15, Effective: 08-03-15, Implementation: 08-03-15)
The PC Print software enables institutional providers to print remittance data transmitted
by Medicare. A/B MACs (A) are required to make PC Print software available to
providers for downloading at no charge. A/B MACs (A) may charge up to $25 per
mailing to recoup costs if the software is sent to providers on a CD/DVD or any other
means at the provider’s request when the software is available for downloading. This
software must include self-explanatory loading and use information for providers. It
should not be necessary to furnish provider training for use of PC Print software. A/B
MACs (A) must supply providers with PC-Print software within 3 weeks of request. The
A/B MAC (A) Shared System (FISS) maintainer will supply PC Print software and a
user’s guide for all A/B MACs (A). The FISS maintainer must assure that the PC Print
software is modified as needed to correspond to updates in the ERA and SPR formats per
CMS instruction.
Providers are responsible for any telecommunication costs associated with receipt of the
ASC X12 835, but the software itself can be downloaded at no cost.
The PC Print software enables providers to:
• Allow the translation of the ASC X12 835 electronic remittance advice to user
friendly report that can be reprinted;
• View and print remittance information on all claims included in the ASC X12
835;
• View and print remittance information for a single claim;
• View and print a summary of claims billed for each Type of Bill (TOB) processed
on this ERA; and
• View and print a summary of provider payments.
The receiving PC always writes an ASC X12 835 file in ASCII. The providers may
choose one or more print options, e.g., the entire transmission, a single claim, a summary
by bill type, or a provider payment summary. If software malfunctions are detected, they
are to be corrected through the FISS maintainer. Individual A/B MACs (A) or data
centers may not modify the PC Print software.
The software will also print the CAQH CORE defined business scenarios along with the
texts for Claim Adjustment Reason and Remittance Advice Remark Codes reported on
the 835 to explain any adjustment.