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

Issue Date: May 25, 2016

Program Area: ACA Financial Appeals (ACA FA)

Question: Will the Centers for Medicare & Medicaid Services (CMS) require issuers to note any specific overlapping claims discrepancies on the attestation form?

Answer: No. Issuers must fill out a discrepancy report concerning overlapping claims according to the guidelines released in the May 18, 2016 presentation. On the attestation, issuers may only indicate whether or not the issuer discovered any overlapping claims.

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