PWK Workflow

50.10.2 - PWK Workflow (Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13) The PWK segment is the “electronic staple” which connects paper documentation to an electronic claim. Claims are submitted electronically with the PWK segment populated. The additional documentation is then submitted to the A/B MACs, DME MACs or CEDI at the same time or within close proximity of the electronic claim. If needed, the A/B MACs, DME MACs or CEDI will use the additional documentation in their adjudication of the claim. If the claim does not require additional documentation, the claim will be adjudicated without reviewing the additional documentation. If the additional documentation is not received or provides no value, the claim will be handled as it normally would have if the PWK data not been submitted.