Online Electronic Correspondence Referral System (ECRS) Added Edits Checking for Medicare Entitlement and Part D Enrollment For Specific Group Health Plan (GHP) Types and Batch Edits. Effective April, 2023, Hierarchy Rules Will Be Applied to Primary and…
The purpose of this Change Request (CR) is to alert all Medicare Administrative Contractors (MACs) to upcoming modifications to the Electronic Correspondence Referral System (ECRS) processes and the associated Web User Guide. The Centers for Medicare & Medicaid Services (CMS) is adding online ECRS edits that check for Medicare entitlement and Part D enrollment; CMS is adding these edits for GHP (Medicare Secondary Payer (MSP) Types A, B and G) corresponding to the existing batch edits. Additionally, effective in April 2023, CMS will be applying MSP hierarchy rules to primary and supplemental Part D prescription drug records. These rules will be similar to the rules currently applied to incoming MSP GHP and NGHP records.
No modifications were made to the ECRS Quick Reference Card.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 09, 2023
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