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US · guidance

CMS Pub. 100-08, ch. 12, § 12.12

Voluntary Refunds

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

This section applies to Medicare Administrative Contractors (MACs) and Comprehensive

Error Rate Testing (CERT) as indicated.

If the MAC receives a voluntary refund from a provider or supplier on a CERT sampled

claim, the MAC shall process the voluntary refund normally, as instructed in other

manuals. If the MAC processes the voluntary refund of a CERT sampled claim after

receiving the transaction file for the claim in question, the MAC shall complete the

feedback file as though the voluntary refund had not been received.

History

(Rev. 852; Issued: 12-21-18; Effective: 1-24-19; Implementation: 1-24-19)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
717a35df9b6a817e25c0b3ec1d0c08a785a250efc9c96ae3556085d0cc5dea36
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