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CMS Pub. 100-04, ch. 1, § 130.1.1

Adjustment Bills Involving Time Limitation for Filing Claims

activein force · 2026-08-25 – presentas-observed

A3-3664.D

If a provider fails to include a particular item or service on its initial bill, an adjustment

request(s) to include such an item(s) or service(s) is not permitted after the expiration of

the time limitation for filing a claim. However, to the extent that an adjustment request

otherwise corrects or supplements information previously submitted on a timely claim

about specified services or items furnished to a specified individual, it is subject to the

rules governing administrative finality, rather than the time limitation for filing.

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
7445d181bfce291d86a2ef9cbc44173beea25a22b8bbdcd8dac42e59fa7c6981
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