US · guidance
CMS Pub. 100-04, ch. 32, § 50.6
Claims Editing for Intermediaries
We do not require nationwide standard system claims processing edits for pre and post payment review of claim(s) at
this time. However, carriers and intermediaries may create local claims processing edits for the requirements listed
above.
History
(Rev. 128, 03-26-04)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
8bf63cfea87ac9bbfc5fbe0600d5494e3cae17d4811c030a84fb4d5116021efa
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