Contractor Monthly Reports of Claims Paid Outside of CWF

60.3 – Contractor Monthly Reports of Claims Paid Outside of CWF (Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18) A/B MACs and DME MACs shall submit, by the 20th day of the following month, a monthly report of all claims paid without CWF approval to their CMS COR. A/B MACs and DME MACs shall encrypt reports submitted via the Internet to ensure the protection of the Personal Health Information (PHI) and Personally Identifiable Information (PII) contained in these reports. The monthly reports of claims paid outside the CWF/ CWF system shall include summary data for each edit code showing claim volume and payment. The reports shall also identify the claims and summary edit code volume and payment data as to whether it is a Part A or Part B Service. The monthly reports shall provide the data listed below for each claim paid without CWF approval for that reporting month: a) Medicare beneficiary identifier, b) Beneficiary Name, c) Provider Number (National Provider Identification Number (NPI), d) From and to Date of Service, e) Total Charges, f) Amount Paid, g) Paid Date, and h) CWF Error Code/Condition Preventing Payment.