Claims

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Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

New provider roadmap: Claims submission

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

New provider roadmap: Claims submission

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

Ambulance transport – Deceased beneficiary

In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the Medicare ambulance benefit depends on the time at which the beneficiary…

Tips to prevent reject reason code C7010

Read this article for tips on how to prevent reject reason code C7010.

Ambulance transport – Deceased beneficiary

In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the Medicare ambulance benefit depends on the time at which the beneficiary…

DMEPOS HCPCS codes jurisdiction list

CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.

Critical access hospital (CAH) method II professional reassignment deadline is January 1

Beginning January 2, 2026, CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II…

Tools & forms: Claims

Use these self-service tools and forms related to claims.