Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 60.4

Remittance Advice and Standard Paper Remittances

Last amended: 2020Year: 2020Length: 93 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 60.4: Remittance Advice and Standard Paper Remittances | Justis AI