US · guidance
CMS Pub. 100-24, ch. 5, § 5.2
Listed Agency Billing (LAB) - Summary Sheet
A LAB summary sheet is enclosed with each monthly SAS. The LAB summary sheet will only
reflect items included in the monthly billing file (RIC-B). For states that receive daily buy-in
response files, reply records (RIC-D) are not be reflected on the LAB summary sheet. For states
that do not receive daily reply files, all records processed in the update month are reflected on
the LAB summary sheet.
More specifically, the LAB summary sheet provides a breakdown of the number of records and
the credits and debits associated with each transaction code. See appendix 5.D for a sample
Agency LAB summary sheet.
History
(Rev. 4, Issued: 08-21-20, Effective: 09-08-20, Implementation: 09-08-20)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
26bb5feeecda185f8d9f80cde2a1b4f6f806cf57f019405937ec356b1f0b5fff
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