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

Issue Date: February 05, 2020

Program Area: Payment Policy and Financial Management Group External Audits (PPFMG EA)

Question: Can the issuer-assigned subscriber ID (field 6) be reported in the issuer-assigned policy ID (field 8) of the desk audit file if issuer-assigned policy IDs were not maintained in the issuer's systems?

Answer: Issuers can report the issuer-assigned subscriber ID in the issuer-assigned policy ID field of the desk audit file if a separate policy ID was not maintained in the system.

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