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Pub. 100-04 Medicare Claims Processing

The Part B and Durable Medical Equipment Regional Carriers (DMERCs) shared system maintainers must make changes to their pre-pass
editing process to prevent certain claim errors from being accepted into the Part B and DMERC shared systems. These pre-pass edits will reject all inbound electronic claims that contain an invalid diagnosis code whether pointed to or not, will reject all inbound electronic claims that contain a space, dash, special character, or 1 byte numeric in any zip code field, and will reject all inbound electronic claims that contain a space, dash, special character, or parentheses in any telephone number field.

Download the Guidance Document

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

Issue Date: February 06, 2004

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.