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US · guidance

CMS Pub. 100-04, ch. 24, § 40.2

Medicare FFS Contractors (A/B MAC, DME MAC, CEDI)

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

A/B MACs, DME MACs, CEDI or other contractors if designated by CMS are

responsible to support the exchange of CMS approved electronic transactions. This

support includes testing, certifying, and retention of an audit trail for the electronic data

interchange platforms. A/B MACs, DME MACs, CEDI or other contractors if

designated by CMS must maintain environments according to CMS security policy and

guidelines. See Section 40.2.1 and 40.2.2 for specific references to this information.

A/B MACs, DME MACs, CEDI or other contractors if designated by CMS will provide

outreach and education to encourage the use of electronic transactions. A/B MACs,

CEDI or other contractors if designated by CMS are responsible for managing the EDI

enrollment of entities who will be exchanging electronic transactions and providing

support to these entities. A/B MACs, DME MACs, or other contractors if designated by

CMS are responsible to support contact with new providers, make available User

Guidelines for EDI transactions and EDI provider training, to include information on EDI

transactions in newsletters, bulletin boards, and Internet publications. See Section 40.2.2

and 40.2.3 for specific references to this information.

A/B MACs, DME MACs, CEDI or other contractors if designated by CMS will provide

limited support to providers in choosing a vendor, determining goals and requirements

for the provider in selecting a vendor and assist in evaluating vendor proposals. See

Section 40.2.4 for specific references to choosing a vendor.

A/B MACs, DME MACs, CEDI or other contractors if designated by CMS will provide

support to EDI trading partners through technical assistance and training. A/B MACs,

DME MACs, CEDI or other contractors if designated by CMS will make free claim

submission software available to providers and support the software. A/B MACs, DME

MACs, CEDI or other contractors if designated by CMS will also support the software to

convert the ASC X12 835 remittance advice into a print document. See Section 40.2.5

and 40.2.6 for specific references to this information.

History

(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
33a2d95d00591b0c2e103f2aff6c8e642a31468be09ce9f44e294001ee8674e2
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