Interim Non-Systems Solution: Converting Health Insurance Portability and Accountability Act (HIPAA) Individual Relationship Codes to Common Working File (CWF) Patient Relationship Codes
The current version of the Health Insurance Portability and Accountability Act (HIPAA) transaction and code sets contains individual relationship codes that are not recognized by the Center for Medicare & Medicaid Services’ (CMS’) Common Working File (CWF) system. Through this Change Request, CMS shall instruct Medicare intermediaries to manually work the CWF SP edits that they
receive when they have attempted to add an invalid patient relationship code. Contractors shall use the CMS-provided conversion chart for purposes of resolving the MSP edits and/or CWF SP edits received when an invalid patient relationship code appears on the incoming claim.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 05, 2004
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