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Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ

Guidance for FAQ regarding Edge Server Operations and Data Submission - Medical File

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: Is it acceptable for an issuer to submit an original claim with a paid amount referencing all Claim IDs?

Answer: Yes. Issuers may choose to submit a final version of the claim if the claim is processed multiple times in a given period, even if those claims have different IDs.

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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.