US · guidance
CMS Pub. 100-04, ch. 1, § 10
Jurisdiction for Claims
In general FIs have jurisdiction for providers and institutional suppliers. Examples of
institutional suppliers are renal dialysis facilities, comprehensive outpatient rehabilitation
facilities, rural health clinics, and federally qualified health centers. In general, carriers
have jurisdiction for physicians and other individual practitioners, and for labs that are
not a part of hospital, ambulance suppliers, ASCs, DME suppliers, and IDTFs.
See §§10.1 - 10.2 for more detail.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d75958a524b087b8bf853b712e4f4e9ef49ce683759f40081f09eab2e64f0a87
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