Business Process Details - Process Claim
Guidance for the Process Claim business process that receives original or adjusted claim (e.g.,
institutional, professional, dental, pharmacy, and waiver) information via web or
Electronic Data Interchange (EDI) transaction, assigns an internal control number,
and Determines its submission status
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2012
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.