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May 9, 2016 - Revised: 11.30.22

ASCA Notification Letters

The Administrative Simplification Compliance Act (ASCA) requires that as of October 16, 2003, all initial Medicare claims be submitted electronically, except in limited situations. Medicare is prohibited from payment of claims submitted on a paper claim form that do not meet the limited exception criteria.

Letters are mailed each quarter informing paper submitters of the ASCA requirements.

If you feel you meet one of the exceptions identified on the Administrative Simplification Compliance Act Self Assessment webpageExternal Website, please complete and submit the ASCA Request FormPDF via fax.  Fax numbers are located at the bottom of the form.

Please refer to the following resources regarding this topic:

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