Skip to main content
Corporate

Interactive Medicare Standard Paper Remittance (SPR) Advice

The Medicare Remittance Advice (RA) is a notice sent to home health and hospice providers explaining how billing transactions are processed (paid, rejected, or denied). Billing transactions include final claims, adjustments, and canceled, denied, or rejected claims as well as Requests for Anticipated Payments (RAPs). SPRs are not provided if the HH&H has received the Electronic Remittance Advice (ERA) for more than 30 days. However, providers who have registered for myCGS (the CGS Web portal) are able to view and print standard paper remittances. The following additional resources are available on the Centers for Medicare & Medicare Services (CMS) website.

This interactive guide provides an overview of the SPR Advice. Select the section (below) that you wish to view. As you move your mouse over the area of interest, the field(s) will highlight and the name of the field will display. Click on the fieldto view more detailed information.

The SPR includes two sections:

  • All Claims (AC) page(s) show information for each individual claim (not the individual charges on the claim). Claims will be listed on separate pages depending on whether the services apply to Medicare Part A or Part B.
  • Summary page includes information that encompasses all the claims included in the AC section. 

All Claims (AC) Page

The All Claims (AC) page includes information for each individual claim (not the individual charges on the claim). Claims will be listed on separate pages depending on whether the services apply to Medicare Part A or Part B.  

As you move your mouse over the area of interest, the field(s) will highlight and the name of the field will display. Click on the fieldto view more detailed information.

Medicare Administrative Contractor (MAC) Information
Provider Information
Miscellaneous Information
PATIENT NAME PATIENT CNTRL NUMBER RC REM DRG# DRG OUT AMT COINSURANCE PAT REFUND CONTRACT ADJ
HIC NUMBER ICN NUMBER OUTCD NEW TECH/ECT COVD CHGS ESRD NET ADJ PATIENT RESP
FROM DT / THRU DT HICHG TOB PROF COMP MSP PAYMT NCOVD CHGS INTEREST PROC CD AMT
CLM STATUS COST COVDY NCOVDY DRG AMT DEDUCTIBLES DENIED CHGS PRE PAY ADJ NET REIMB
empty SEQUESTRATION empty
empty PIONEER empty
empty
SUBTOTAL FISCAL YEAR
SUBTOTAL

Summary Page

The Summary page includes information that encompasses all the claims included in the AC section. 

As you move your mouse over the area of interest, the field(s) will highlight and the name of the field will display. Click on the fieldto view more detailed information.

Medicare Administrative Contractor (MAC) Information
CLAIM DATA PASS THRU AMOUNTS
CAPITAL PROVIDER PAYMENT RECAP
DAYS RETURN ON EQUITY
COST DIRECT MEDICAL EDUCATION PAYMENTS
COVDY KIDNEY ACQUISITION DRG OUT AMT
NCOVDY BAD DEBT INTEREST
NON PHYSICIAN ANESTHETISTS PROC CD AMT
CHARGES TOTAL PASS THRU NET REIMB
COVD TOTAL PASS THRU
NCOVD PIP PAYMENT PIP PAYMENTS
DENIED SETTLEMENT PAYMENTS SETTLEMENT PYMTS
ACCELERATED PAYMENTS ACCELERATED PAYMENTS
REFUNDS REFUNDS
PROF COMP PENALTY RELEASE PENALTY RELEASE
MSP PAYMT TRANS OUTP PYMT TRANS OUTP PYMT
DEDUCTIBLES HEMOPHILIA ADD-ON HEMOPHILIA ADD-ON
COINSURANCE NEW TECH/ECT ADD-ON NEW TECH/ECT ADD-ON
VOID/REISSUE VOID/REISSUE
935 PAYMENTS 935 PAYMENTS
BALANCE FORWARD
PAT REFUND WITHHOLD FROM PAYMENTS WITHHOLD
INTEREST CLAIMS ACCOUNTS RECEIVABLE ADJUSTMENT TO BALANCE
CONTRACT ADJ ACCELERATED PAYMENTS NET PROVIDER PAYMENT
PROC CD AMT PENALTY
NET REIMB SETTLEMENT CHECK/EFT NUMBER
THRID PARTY PAYMENT
AFFILIATED WITHHOLDING
935 WITHHOLDING
FEDERAL PAYMENT LEVY
NON-TAX FPLP
TOTAL WITHHOLD

Updated: 02.26.18

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved