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

Issue Date: November 26, 2014

Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server

Question: Can issuers resubmit one (1) individual claim or should issuers resubmit the whole file; how does the claim error correction process work?

Answer: In accordance with the void/replace rules found in the EDGE Server Business Rules (ESBR), issuers should not replace the whole file because some files are incremental, and if issuers resubmit the whole file, the previously accepted records would then be rejected as duplicates. Issuers should either resubmit the one (1) previously rejected file by itself or submit the rejected file in the next incremental batch of files.

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