Systems Changes for Prescription Order Numbers for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals
For claims processed on or after July 7, 2008, edits will be implemented to treat as unprocessable CAP claims received with inappropriate spaces in prescription order numbers as well as claims with prescription order numbers with less than 10 characters. In addition, a new CWF utilization error code will be developed so that contractors may treat as unprocessable claims submitted with duplicate
prescription order numbers.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 22, 2008
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