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Carrier and DMERC 835 Flat File Change and Replacement of Deactivated Reason Code A2

Note: This article was revised on December 6, 2004, to show that the deactivation of Reason Code A2 also applies to Medicare carriers.

Provider Types Affected
All providers who submit claims to Medicare carriers, including durable medical equipment regional carriers (DMERCs)

Provider Action Needed

Impact to You
This one-time notification informs you of the Deactivation of Reason Code A2 for carriers and DMERCs.

What You Need to Know
Providers should be aware of the corrected companion document and the deactivated reason code.

What You Need to Do
Be aware that reason code A2 is being replaced by reason code 121 (Indemnification Adjustment) as of January 3, 2005.

Background
CR 2657 has changed the 835 flat file for carriers and DMERCs to accommodate quantity in metric units, which may have up to seven numeric positions and up to three decimal points. The updated flat file is posted at: http://www.cms.hhs.gov/providers/edi/hipaadoc.asp

In addition, as noted above and effective as of January 1, 2005, reason code A2 will be replaced by reason code 121 (Indemnification Adjustment) on remittance advices.

Additional Information
The official instruction released to your carrier or DMERC may be found at: http://www.cms.hhs.gov/Transmittals/downloads/R103OTN.pdf

If you have any questions regarding this issue, please contact your carrier/DMERC at their toll-free number, which may be found at: http://www.cms.hhs.gov/MedlearnProducts/downloads/CallCenterTollNumDirectory.pdf

Disclaimer
Medlearn Matters articles are prepared as a service to the public and are not intended to grant rights or impose obligations. Medlearn Matters articles may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents.

For more information, visit the Medlearn Matters Web page at: http://www.cms.hhs.gov/MedlearnMattersArticles/

Related Change Request (CR) #: 3236
Medlearn Matters Number:
MM3236 Revised

Related CR Release Date: July 30, 2004
Related CR Transmittal #:
103

Effective Date: January 1, 2005
Implementation Date:
January 3, 2005

Posted: 12/16/2004

Important Medicare Part B New York News


 

 

MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)

CPT codes, descriptions, and other data only are copyright 2003 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

 


 

   
 
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