Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Other
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: Please explain the use of service from and to dates for professional and institutional claims.
Answer: Dates of service are primarily used to determine for which benefit year the services should be considered for reinsurance and/or risk adjustment. Dates of service, either represented as statement covers from and through or date of service from and to, are used in duplicate checks and overlapping stay logic as outlined in the Business Rules document published in the REGTAP library.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 23, 2013
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