Medicare Credit Balance Summary Report

10.10 - Medicare Credit Balance Summary Report (Rev. 99, Issued: 06-30-06; Effective/Implementation Dates: 10-02-06) • FIs shall prepare their summary reports in Excel (an electronic file of this report is available from Central Office (CO) by e-mail to: CMS_SCBR@cms.hhs.gov), and to include their five digit FI number in the file name (i.e., CBSFI#####.xls). In addition, FIs shall complete the “Prepared/Approved by:” section at the bottom of their reports. • See Exhibit 3 below for a sample Medicare Credit Balance Summary Report. • FIs shall submit their Medicare credit balance summary reports to CO via e-mail (CMS_SCBR@cms.hhs.gov) no later than 45 days after provider credit balance reports are due.