Part C - Miscellaneous Claims Data

130.4 - Part C - Miscellaneous Claims Data (Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24) Medicaid Crossover Claims - This part of the report represents data on the volume of Medicaid crossover claims. Line 28 Number Transferred to State Agencies - The carrier reports the total number of Medicaid crossover claims transferred to State agencies or their fiscal agents in the reporting month. Line 29 Number Transferred Electronically - The carrier reports the total number of Medicaid crossover claims reported in line 28 which were transferred in the reporting month to State agencies, or their fiscal agents, via electronic media. Optical Character Recognition Claims Line 30 Total Claims - The carrier reports the number of claims received in hardcopy and entered using an OCR device. It does not count these claims as EMC claims on line 7, page 1, or in column 6, pages 2-9. Medicare Summary Notices (MSNs) Line 31 Total MSNs Mailed - The carrier reports the number of MSNs mailed to beneficiaries during the reporting month.