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US · guidance

CMS Pub. 100-09, ch. 6, § 30.7.5

Check Off Letters

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

MACs may use check-off letters to respond to routine provider written inquiries like claim status,

eligibility inquiries, or non-appealable claims. MACs shall not use check-off letters to address more

complex inquiries. All check-off letters shall be personalized and meet the same timeliness and quality

guidelines that apply to all written responses to provider inquiries.

History

(Rev. 13683; Issued: 04-08-26; Effective: 05-08-26; Implementation: 05-08-26)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
0e124d5ad1a268a5bfcef04dce872463cf3c25de74b0f6a6da1d6c9e0f52cef2
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