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SPOT migration list for billing services and clearinghouses

September 22, 2025

This form is used by a billing service or clearinghouse to set up previously enrolled providers for SPOT.

Form - Administrative Simplification Compliance Act (ASCA) waiver request

August 14, 2025

A provider may submit a waiver request to their Medicare administrative contractor (MAC) claiming an “unusual circumstance” outside of their control prevents the submission of electronic claims.

Dental claim edits for 5010A2 837D files

August 26, 2025

Document of established X12 error codes reported in the 5010A2 837D dental claim process including the Healthcare Claim Acknowledgement (277CA) and the Acknowledgement for Healthcare (999) response reports.

CMS RIDP Tips for Success

August 26, 2025

Tips from CMS for successfully clearing the remote identity proofing (RIDP) process during the SPOT role request process.

Timeline for cost outlier (example)

August 19, 2025

Cost outlier claims timeline example.

Chart - Timeline for cost outlier (Condition code 61 example)

August 19, 2025

Cost outlier claims timeline example.

Chart - Timeline for cost outlier (Occurence code 47 example)

August 19, 2025

Cost outlier claims timeline example.

Timeline for cost outlier (Occurence code 70 example)

August 19, 2025

Cost outlier claims timeline example.

Fax / mail coversheet - Prior authorization request for repetitive, scheduled non-emergent ambulance transports (RSNAT)

September 19, 2025

View this updated prior authorization request coversheet for repetitive, scheduled non-emergent ambulance transport (RSNAT).

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