Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 230.1
Classification of Claims for Counting
230.1 - Classification of Claims for Counting
(Rev. 175, Issued: 10-28-10, Effective: 04-01-11, Implementation: 04-04-11)
Claims data entered on the performance report represent counts of claims (real and replicate). (See
the Medicare Claims Processing Manual, Publication 100-04, Chapter 1, Section 70.8.2, for a
definition of replicate claims). It includes in column (1) both assigned and unassigned claims.
The carrier reports assigned claims in column (2) and unassigned claims in column (3).