Electronic Submission of Claims and Mandatory Assignment

50.1 - Electronic Submission of Claims and Mandatory Assignment (Rev. 2979, Issued: 06-27-14, Effective: 01-01-12, Implementation: 07-28-14) Under the DMEPOS Competitive Bidding Program, all claims shall be submitted electronically using the ASC X12 837 professional claim format except for MSP claims. (NOTE: Claims with multiple MSP situations may be submitted on a paper claim.) Exceptions to the mandatory electronic billing requirement granted under the Administrative Simplification Compliance Act (ASCA) do not apply to DMEPOS Competitive Bidding claims. All DMEPOS Competitive Bidding Program claims are subject to mandatory assignment. Mandatory assignment denotes that a supplier shall accept the Medicare payment as payment in full for their services. The beneficiary’s liability is limited to any applicable deductible plus the 20 percent coinsurance. For additional information concerning mandatory assignment of claims, see Chapter 1, §30.3.1 of the Medicare Claims Processing Manual.