Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 40.2
Medicare FFS Contractors (A/B MAC, DME MAC, CEDI)
40.2 - Medicare FFS Contractors (A/B MAC, DME MAC, CEDI)
(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)
A/B MACs, DME MACs, CEDI or other contractors if designated by CMS are
responsible to support the exchange of CMS approved electronic transactions. This
support includes testing, certifying, and retention of an audit trail for the electronic data
interchange platforms. A/B MACs, DME MACs, CEDI or other contractors if
designated by CMS must maintain environments according to CMS security policy and
guidelines. See Section 40.2.1 and 40.2.2 for specific references to this information.
A/B MACs, DME MACs, CEDI or other contractors if designated by CMS will provide
outreach and education to encourage the use of electronic transactions. A/B MACs,
CEDI or other contractors if designated by CMS are responsible for managing the EDI
enrollment of entities who will be exchanging electronic transactions and providing
support to these entities. A/B MACs, DME MACs, or other contractors if designated by
CMS are responsible to support contact with new providers, make available User
Guidelines for EDI transactions and EDI provider training, to include information on EDI
transactions in newsletters, bulletin boards, and Internet publications. See Section 40.2.2
and 40.2.3 for specific references to this information.
A/B MACs, DME MACs, CEDI or other contractors if designated by CMS will provide
limited support to providers in choosing a vendor, determining goals and requirements
for the provider in selecting a vendor and assist in evaluating vendor proposals. See
Section 40.2.4 for specific references to choosing a vendor.
A/B MACs, DME MACs, CEDI or other contractors if designated by CMS will provide
support to EDI trading partners through technical assistance and training. A/B MACs,
DME MACs, CEDI or other contractors if designated by CMS will make free claim
submission software available to providers and support the software. A/B MACs, DME
MACs, CEDI or other contractors if designated by CMS will also support the software to
convert the ASC X12 835 remittance advice into a print document. See Section 40.2.5
and 40.2.6 for specific references to this information.