Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Durable Medical Equipment (DME) Shared System Change
The purpose of this Change Request (CR) is to provide the ViPS Medicare
System (VMS) maintainer with requirements to prepare the VMS system to process the health care claim
status inquiry and response transactions. VMS shall receive inquiry files which contain the fully edited
version 005010 of the CMS defined flat file record as documented in the attached layout. The Shared
System Maintainer (SSM) shall prepare the outbound flat file for transmission to the Common Electronic
Data Interchange (CEDI) system on behalf of the DME MAC(s) with the appropriate data content defined in
the outbound claim status response definition. Furthermore, the contents of the outbound file shall be fully
compliant with the Healthcare Claim Status Inquiry and Response (276/277) Technical Report Type 3
(TR3), including the appropriate claim status category and claim status code list requirements.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 20, 2009
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