Claims
The information in this section pertains to Medicare fee-for-service (also know as the original or traditional Medicare program) institutional claims. Institutional claims include any claim submitted using the HIPAA-mandated transaction ASC X12N 837 – Health Care Claim: Institutional or the UB-04 paper claim form format.
Additional guidance can be found in the various chapters of the CMS Medicare Claims Processing Manual (Pub. 100-04)
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- Checking Claims Status
- Claim Status and Corrections
- Task Force Scenario: Documenting Therapy and Rehabilitation Services
- Breast Tomosynthesis: Coverage and Claim Submission Instructions
- Claims Processing Instructions for Inlier Bills and Cost Outlier Bills with Benefits Exhausted - MLN Matters PDF Document SE1310

- Reason Code 39919: Released and Reprocessed Claims
- Reason Code U6805: Clarification and Instructions
- Spiracur Snap Wound Care System
- Submitting Paper Claims

