Medicare Claims Processing Manual (Pub. 100-04), Ch. 2 § 01
Purpose of Chapter
01 - Purpose of Chapter
(Rev. 3441, Issued: 01-15-16, Effective; 12-31-13; ASC X12: 01-01-12, MAC
Implementation: 02-16-16; ASC X12: 02-16-16)
This chapter describes general requirements with respect to verifying an individual’s
Medicare eligibility and entitlement status for providers, suppliers, A/B MACs (A), (B),
and (HHH), and DME MACs. It also includes general requirements for hospitals for
determining the source admission for use later in the claims process.