US · guidance

CMS Pub. 100-06, ch. 5, § 510.7

Reconciliation of Net Disbursements and System Issues from the Detailed Claims Data File/Report to the

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

Month-to-Date Analysis of Payment (HBDR2002) - This attachment is an illustration of the electronic spreadsheet (Exhibit 1) that will

be used to input selected financial information from the detailed claims data file and MCS reports.

(Rev. 21, 08-01-03)

Section 510.7: Reconciliation of Net Disbursements and System Issues from the Detailed Claims Data File/Report to the Month-to-Date

Analysis of Payment (HBDR2002)

Col. A Col. B Col. C Col. D Col. E Col. F Col. G

Net Disbursements Net Disbursements

System Issues System Issues DAILY DIFFERENCE Total Issues Total Issues DAILY DIFFERENCE

(Col. G) (Col. G) DISBURSEMENTS (Col. I) (Col. I) ISSUES

LINE DATE Report Title ## HBDR2002 (B-C) Report Title ## HBDR2002 (E-F)

138 12/1/2002 0.00 0.00 0.00 0.00 0.00 0.00

139 12/2/2002 0.00 57,168,819.51 (57,168,819.51) 0.00 57,168,819.51 (57,168,819.51)

140 12/3/2002 0.00 29,458,814.62 (29,458,814.62) 0.00 29,459,715.02 (29,459,715.02)

141 12/4/2002 0.00 26,779,569.49 (26,779,569.49) 0.00 26,779,569.49 (26,779,569.49)

142 12/5/2002 0.00 3,541,395.27 (3,541,395.27) 0.00 3,541,395.27 (3,541,395.27)

143 12/6/2002 0.00 37,885,518.26 (37,885,518.26) 0.00 37,885,518.26 (37,885,518.26)

144 12/7/2002 0.00 0.00 0.00 0.00 0.00 0.00

145 12/8/2002 0.00 0.00 0.00 0.00 0.00 0.00

146 12/9/2002 0.00 62,346,059.63 (62,346,059.63) 0.00 62,420,963.57 (62,420,963.57)

147 12/10/2002 0.00 7,386,987.61 (7,386,987.61) 0.00 7,386,987.61 (7,386,987.61)

148 12/11/2002 0.00 2,333,630.80 (2,333,630.80) 0.00 2,333,953.99 (2,333,953.99)

149 12/12/2002 0.00 1,921,133.26 (1,921,133.26) 0.00 1,921,133.26 (1,921,133.26)

150 12/13/2002 0.00 46,345,460.66 (46,345,460.66) 0.00 46,345,460.66 (46,345,460.66)

151 12/14/2002 0.00 0.00 0.00 0.00 0.00 0.00

152 12/15/2002 0.00 0.00 0.00 0.00 0.00 0.00

153 12/16/2002 0.00 55,549,257.92 (55,549,257.92) 0.00 55,549,257.92 (55,549,257.92)

154 12/17/2002 0.00 32,627,847.85 (32,627,847.85) 0.00 32,627,847.85 (32,627,847.85)

155 12/18/2002 0.00 25,953,453.68 (25,953,453.68) 0.00 25,953,453.68 (25,953,453.68)

156 12/19/2002 0.00 2,267,039.07 (2,267,039.07) 0.00 2,267,039.07 (2,267,039.07)

157 12/20/2002 0.00 38,852,846.35 (38,852,846.35) 0.00 38,852,846.35 (38,852,846.35)

158 12/21/2002 0.00 0.00 0.00 0.00 0.00 0.00

159 12/22/2002 0.00 0.00 0.00 0.00 0.00 0.00

160 12/23/2002 0.00 75,945,544.26 (75,945,544.26) 0.00 75,945,544.26 (75,945,544.26)

161 12/24/2002 0.00 0.00 0.00 0.00 0.00 0.00

162 12/25/2002 0.00 0.00 0.00 0.00 0.00 0.00

163 12/26/2002 0.00 25,959,573.33 (25,959,573.33) 0.00 25,959,573.33 (25,959,573.33)

164 12/27/2002 0.00 38,880,395.44 (38,880,395.44) 0.00 38,880,436.54 (38,880,436.54)

165 12/28/2002 0.00 0.00 0.00 0.00 0.00 0.00

166 12/29/2002 0.00 0.00 0.00 0.00 0.00 0.00

167 12/30/2002 0.00 75,739,014.79 (75,739,014.79) 0.00 75,739,039.82 (75,739,039.82)

168 12/31/2002 0.00 0.00 0.00 0.00 0.00 0.00

169

170 Totals 0.00 15,865,851.90 (646,942,361.80) 0.00 647,018,555.46 (647,018,555.46)

History

(Rev. 21, 08-01-03)

Provenance

Source: cms.gov
Retrieved: 2026-08-25
Edition: iom-2026-08-25
Content hash: d25259529423bf60e6522abd31cf137dac66fdc9b48ceee48e7679766ffbd54a

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