Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 69.10

CWF Editing Of Clinical Trial Claims For Managed Care Enrollees

Last amended: 2005Year: 2005Length: 109 wordsOfficial source
69.10 - CWF Editing Of Clinical Trial Claims For Managed Care Enrollees (Rev. 487, Issued: 03-04-05, Effective and Implementation: N/A) Submit clinical trial services for managed care enrollees to CWF for payment approval. CWF will not reject clinical trial claims for managed care enrollees when all services on the claim transaction record are coded as clinical trial services and the date(s) of service is (are) on or after September 19, 2000. In addition, CWF will not apply Part B deductible to clinical trial claims for managed care enrollees (i.e., CWF will process clinical trial services for managed care enrollees as if the Part B deductible has already been met).
Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 69.10: CWF Editing Of Clinical Trial Claims For Managed Care Enrollees | Justis AI