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US · guidance

CMS Pub. 100-04, ch. 32, § 69.10

CWF Editing Of Clinical Trial Claims For Managed Care Enrollees

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

Submit clinical trial services for managed care enrollees to CWF for payment approval. CWF

will not reject clinical trial claims for managed care enrollees when all services on the claim

transaction record are coded as clinical trial services and the date(s) of service is (are) on or

after September 19, 2000. In addition, CWF will not apply Part B deductible to clinical trial

claims for managed care enrollees (i.e., CWF will process clinical trial services for managed

care enrollees as if the Part B deductible has already been met).

History

(Rev. 487, Issued: 03-04-05, Effective and Implementation: N/A)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
b75d89519e8162dd6d26a04add3b2487d08bea678e2a633ec299eaecdc82035a
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