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Instructions for PLB Code Reporting on Remittance Advice and a Crosswalk Between the HIGLAS PLB Codes and ASC X12 Transaction 835 PLB Codes, and RAC Recoupment Reporting on Remittance Advice for VMS.

This CR instructs the Shared System Maintainers about using and
reporting PLB codes on the Remittance Advice (RA). It also provides a crosswalk between the HIGLAS
PLB codes and the ASC X12 Transaction 835 PLB codes to ensure that PLB code reporting on the RA is
consistent and uniform across the board. It also includes instruction for VMS how to report RAC
recoupment when there is a time difference between the creation of the Accounts Receivable and actual
recoupment of money.

Download the Guidance Document

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

Issue Date: November 12, 2010

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.