Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 60.4
Remittance Advice and Standard Paper Remittances
60.4 - Remittance Advice and Standard Paper Remittances
(Rev. 10236, Issued: 07-31-2020, Effective: 08-31-2020, Implementation: 08-31-2020)
Remittance advice records shall be provided to explain claim adjudication decisions,
including for NCPDP format claims. A/B MACs and CEDI shall send the Electronic
Remittance Advice (ERA) in the ASC X12 835 remittance advice format. Or the A/B
MACs and DME MACs shall send the remittance as a Standard Paper Remittance (SPR)
Advice. HIPAA version implementation guides are available from the official
Washington Publishing Company website. See Chapter 22 of this manual for further
remittance advice information.