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US · guidance

CMS Pub. 100-04, ch. 27, § 50

Requesting or Providing Assistance to Resolve CWF Rejects

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

When a MAC has difficulty processing a bill because a prior bill was incorrectly

processed and posted to CWF by another MAC (A/B MAC or DME MAC), the two A/B

MACs or DME MACs must work together to resolve the error. Where help is needed

from another A/B MAC or DME MAC, the submitting MAC requests assistance from the

contractor whose bill was processed incorrectly. The A/B MAC or DME MAC that

processed the bill is identified in the CWF reject trailer.

History

(Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
1231f33521b4f838de599b5e9c0a93d6060515830a97e940c25966e81a79bc65
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