US · guidance
CMS Pub. 100-06, ch. 6, § 230.1
Classification of Claims for Counting
Claims data entered on the performance report represent counts of claims (real and replicate). (See
the Medicare Claims Processing Manual, Publication 100-04, Chapter 1, Section 70.8.2, for a
definition of replicate claims). It includes in column (1) both assigned and unassigned claims.
The carrier reports assigned claims in column (2) and unassigned claims in column (3).
History
(Rev. 175, Issued: 10-28-10, Effective: 04-01-11, Implementation: 04-04-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e53ac7f951ca4efc8fa4466ecc6dc6f69e4b7a3c965f87fada3bdd6a591e52db
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