Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Data Submission - Other
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: Will the Edge Server determine whether a duplicate claim contains the same data or will it simply reject as duplicate any claims with the same Claim ID being submitted?
Answer: For medical claims there are two duplicate checks performed: one at the claim header level, where the Issuer ID and Claim ID are used to match against the stored claim table, and the second at the claim line level, where a multi-key system is used. For pharmacy claims, there is a single duplicate check performed where a multiple-key system is used. The duplicate logic is described in the Business Rules document available in the REGTAP Library at www.regtap.info.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 23, 2013
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