Once you start to submit your 837 transaction sets with your new M2 submitter number, one of the new reports you will receive back is the Claims Confirmation Report (CCR), also referred to as the GenResponse Report. The CCR will explain to the submitter the status of their 837 transaction set. As a reference tool, please link to this documentation that will assist you with the information displayed on the report. To see a sample of the GenResponse report, visit our Web site at http://www.empiremedicare.com/news/partanews07/112707edi.htm and click on National Government Services Claims Confirmation Report.

For Medicare Part A submitters , the GenResponse Report will display accepted and rejected claims. This report includes submitter/provider validation, EDI enrollment, IG edits, and business edits. Any rejects will need to be corrected and resubmitted. This report is a replacement for the National Government Services #00308 Medicare Part A Inbound Reject Report (HB997ZRJ-A ) and the National Government Services #00308 Medicare Part A Inbound Accept Report (HB997ZAC-A). This report indicates which claims would be passed to FISS for further adjudication.

For Medicare Part B submitters , the GenResponse Report is a new report and will be generated. Part B submitters will continue to receive the Professional EMC Program Medicare -B EMC Input Batch Reject Listing.

Posted: 01/03/2008

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