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

Issue Date: November 14, 2014

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

Question: The Interface Control Document (ICD) and the EDGE Server Business Rules (ESBR) covers Bill Types XX1 through XX9, but the documents do not cover institutional claims that could end with an XXA, XXB, XXG. What should issuers do with those Bill Types: Send them as XX1s, or not send them at all?

Answer: The Centers for Medicare & Medicaid Services (CMS) has provided issuers with the list of acceptable Bill Type codes. CMS will reject any Bill Type codes that do not meet the Bill Type requirements provided.

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