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US · guidance

CMS Pub. 100-04, ch. 24, § 50.5.2

EDI Receiver Testing by A/B MACs, and CEDI

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

A/B MACs and CEDI are not required to test individuals who request use of outbound

electronic remittance advice (ERA) or claim status transactions unless parties that request

receipt of those transactions request pre-testing prior to production use of one or more of

those outbound transactions. A/B MACs and CEDI may, at their discretion, require pre-production testing of outbound transactions if there is concern that specific receivers

could otherwise experience significant problems.

Even if testing is not normally required, parties that want to begin receipt of an outgoing

transaction supported by Medicare must notify their A/B MACs DME MACs or CEDI

when to begin transmission of the HIPAA version of a specific outgoing transaction.

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
88256e7e0da3ceeb8588d30baafeda2a3118a6c30869e116f0a1f5579d05e7e5
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