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Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process

The purpose of this Change Request (CR) is to discontinue the transmission of the COBA Claims Accept and Reject File (also known as the “Claims Response File”), a process that was activated at the beginning of the consolidation of the Medicare claims crossover process in 2004.

Download the Guidance Document

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

Issue Date: April 17, 2025

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.