US · guidance
CMS Pub. 100-04, ch. 24, § 90.5.4
Submission of Claims that May Always be Submitted on Paper
by Providers Not Otherwise Eligible to Submit Paper Claims
(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)
If a provider determined to be ineligible to submit most types of claims on paper contacts
any MAC to complain because a claim that contained services permitted to be submitted
on paper (see §90.2) was denied, the MAC is to manually process and pay that claim.
These claims will only be paid at the provider’s request, assuming all other requirements
are met for coverage and payment of that claim or certain services included in that claim.
Medicare systems are incapable of identifying and paying certain types of paper claims,
or only certain services included in paper claims, when a provider has been determined to
be otherwise ineligible for payment of all other paper claims.
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
32e73a64be6a921e532b4dfe2c4943bab07f9bb3f754b4036f8e0b9931ce86d7
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