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Clarification on Patie nt’s Re ason for Visit Ne cessary to Capture HIPAA Compliant Fie lds

In order for Medicare to process HIP AA compliant claim information located on the UB-04, or 837I transaction appearing on the claim form, the Centers for Medicare and Medicaid Services (CMS) needs to clarify the usage of the P atient's Reason for Visit (P VR) used for processing claims.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 31, 2015

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.