US · guidance
CMS Pub. 100-06, ch. 6, § 280.3
LCER Data
B3-13326.3
The carrier reports in items 1-4 numbers of LCERs sent, not the number of providers receiving
LCERs. Each of these items, therefore, will be the sum of the numbers shown on its cycle reports
for the period.
Line 1 - LCERs Sent to Individual Physicians - The carrier reports the total number of LCERs
sent to individual physicians during the period.
Line 2 - LCERs Sent to Group Practices - The carrier reports the total number of LCERs sent to
group practices of physicians during the period.
Line 3 - LCERs Sent to All Other Providers - The carrier reports the total number of LCERs
sent to all providers other than individual physicians, or group practices of physicians.
Line 4 - Total LCERs Sent for Period - The system will sum lines 1, 2, and 3 to calculate this
field.
Line 5 - Total Claims on LCERs Sent - The carrier reports the total number of claims included
on all of the LCERs sent for the period.
Line 6 - Claims Selected for Verification - The carrier reports the total number of claims selected
for verification of refund/adjustment during the reporting period.
Line 7 - Beneficiaries with Claims on LCERs - The carrier reports the sum of the number of
individual beneficiaries counted on its cycle reports for the period. Although an individual is to be
counted only once on any particular cycle report, if the individual has claims on more than one
cycle report, that individual will be counted more than once on the quarterly report.
History
(Rev. 6, 08-30-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
cd9de6c7ecb7553475f069250daf77cffba16b1ee05fb13dfacb5a193115ab08
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