US · guidance
CMS Pub. 100-06, ch. 6, § 330.5
Checking Reports Prior to Submittal to CMS
B3-13360.5
Before sending reports to CMS, the carrier checks for completeness and arithmetic accuracy. The
following checklist assists in the arithmetic check for both the number of claims and the amount of
money involved.
• A valid 5-digit carrier number is required.
• The default value for areas not keyed is zero.
• Appropriate fiscal quarter (1-4) and year is required.
o For each column, line 1, plus or minus line 2, must equal line 3. Line 3cannot be
negative.
o For each column line 6 + 9 must equal line 5.
o For each column line 7 + 8 must equal line 6.
o For each column line 10 + 11 + 12 must equal line 9.
o For each column line 3 + 4 - 5 must equal line 13.
o For each column line 14 + 15 + 16 + 17 + 18 + 19 + 20 + 21 + 22 + 23 must equal
line 4.
o For each column line 24 + 25 + 26 + 27 + 28 must equal line 4.
o For each column line 1 of the current report must equal line 13 of the previous report.
History
(Rev. 6, 08-30-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4c3f9f51d478f7be79772220a1d4dda4e94bf28ef5d315b3f1a15592432255b2
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