Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 25, 2016

Program Area: ACA Financial Appeals (ACA FA)

Question: Does the Centers for Medicare & Medicaid Services (CMS) provide an error code for the overlapping claims discrepancy?

Answer: No. CMS does not provide an error code of the overlapping claims discrepancy. Issuers should select 'No' to the question, 'Is this discrepancy related to any of your EDGE reports?'.

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