Medicare Claims Processing Manual (Pub. 100-04), Ch. 22 § 50
Standard Paper Remittance Advice
50 - Standard Paper Remittance Advice
(Rev. 3288, Issued: 07-02-15, Effective: 08-03-15, Implementation: 08-03-15)
The Standard Paper Remittance (SPR) is the hard copy version of an ERA. All A/B
MACs and DME MACs must be capable of producing SPRs for providers who are
unable or choose not to receive an ERA. A/B MACs and DME MACs suppress
distribution of SPRs if a provider is also receiving ERAs for more than 31 days
(institutional providers) or 45 days (professional providers/suppliers) respectively.