Medicare Financial Management Manual (Pub. 100-06), Ch. 2 § 130.8
Completing the Credit Schedule Attachment to the Cost
130.8 - Completing the Credit Schedule Attachment to the Cost
Classification Report
(Rev. 2, 08-30-02)
A1-1361.8, B1-4361.8
See chapter 1, §140 for descriptions of credits.
The credit schedule supports the Cost Classification Report (CMS-2580) attachment to
the FACP.
Transferee Name - The contractor shall list the insurers to whom claims are being
transferred for complementary insurance (including both internal and external transfers),
Medicaid, and Other.
Transfer Type - The method of transfer (electronic or hard copy).
Frequency - The contractor shall indicate whether the transfer is an occasional request or
by agreement for ongoing transfer.
Number of Claims Transferred - The number of claims transferred to complementary
insurers (including both internal and external transfers), Medicaid, and Other.
Credit Received (Including Transfer Costs) - The total credit received, including transfer
costs, for claims transferred to complementary insurers (including both internal and
external transfers), Medicaid, and Other. The total credit received for complementary,
Medicaid, and other must agree with the totals on the Preliminary Data Entry Screen.
Unit Cost - The credit received divided by the number of claims transferred.
Credit Code - Indicate the type of transfer:
C = Complementary Insurance;
N = Medicaid;
M = Medigap; or
O = Other (as defined by CMS).