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US · guidance

CMS Pub. 100-04, ch. 24, § 40.2.3.4

Production and Distribution of Material to Market EDI

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

A/B MACs, DME MACs, and CEDI are required to produce and distribute material to

educate and influence providers in all aspects of EDI.

They must include the following themes in published material:

1. Earlier payment of claims because of different payment floor requirements;

2. The benefit of earlier detection of errors via edits;

3. The relative ease of EDI and support available;

4. Advantages of online correction of errors (A/B MAC (A) only);

5. Lower administrative, postage, and handling costs;

6. Electronic adjustments (A/B MAC (A) only);

7. Availability of free software;

8. Claims status inquiry; and

9. Eligibility query.

They must include in written materials testimonials and/or case studies from providers

and facilities that have benefited from using EDI transactions.

These materials may be produced in-house or by local printing companies. The contents

must be maintained up to date. Therefore, A/B MACs, DME MACs, and CEDI must

carefully plan print quantities to match planned distribution to avoid unnecessary waste.

They must make the material available to staff that have contact with the provider

community and make arrangements for distribution at trade shows and seminars that the

A/B MACs, DME MACs, and CEDI do not attend as well as those that they do attend.

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
cdbc5cb7824b574b10b5b7d9c94a0278dc0190cf2d105a6bbb29d160458e91ef
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