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SBE Disposition and Detail Code List v9

Guidance for an operational document utilized by our Enrollment Resolution and Reconciliation Contractor to provide state based exchanges and issuers with additional information on payment disputes submitted by issuers. These codes provide additional context to the state and issuers on the status of dispute and the type of dispute.

Download the Guidance Document

Final

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

Issue Date: October 18, 2022

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.