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Change Payment Floor Date for Paper Claims

As a result of an amendment to the Social Security Act, the payment waiting period for paper claims (the payment floor) has been extended from 26 to 28 days effective for claims received on or after January 1, 2006. Payment for paper claims can then be issued on the 29th day following receipt of the clean claim. Clean paper claims will no longer be included in Contractor Performance Evaluation claims processing timeliness scoring. This CR does not apply to contractors on the HIGLAS system. A separate CR will be issued for those contractors on the HIGLAS system. This CR applies to claims based on date of receipt of claim, on or after the implementation date.

Download the Guidance Document

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

Issue Date: February 10, 2006

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.