(Medicare Claims Processing Manual)

12/06/2019  Updates to the Coordination of Benefits Agreement Insurance File (COIF) For Use in the National Coordination of Benefits Agreement (COBA) Crossover Process  04/06/2020 11380 R4454CP  11/08/2019  Updates to the Coordination of Benefits Agreement Insurance File (COIF) For Use in the National Coordination of Benefits Agreement (COBA) Crossover Process - Rescinded and replaced by Transmittal 4474 04/06/2020 11380 R4220CP  01/25/2019  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  07/01/2019 11092 R4088CP  07/13/2018  Update to the Internet Only Manual (IOM) Publication 100-04 - Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for Common Working File (CWF)   08/14/2018 10842 Rev #  Issue Date  Subject  Impl Date  CR#  R4047CP  05/11/2018  Updates to Publication 100- 04, Chapters 1 and 27 to Replace Remittance Advice Remark Code (RARC) MA61 with N382 08/13/2018 10619 R4009CP  03/23/2018  Update to the Internet Only Manual (IOM) Publication 100-04 - Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for Common Working File (CWF) 04/23/2018 10497 R3765CP  05/05/2017  Modifications to the Common Working File (CWF) In Support of the Coordination of Benefits Agreement (COBA) Crossover Process  10/02/2017 9967 R3468CP  02/19/2016  Medicare Internet Only Manual (IOM) Publication 100-04 Chapter 27 Contractor Instructions for CWF 12/02/2015 9293 R3386CP  10/30/2015  Medicare Internet Only Manual (IOM) Publication 100-04 Chapter 27 Contractor Instructions for CWF  Rescinded and replaced by Transmittal 3468 12/02/2015 9293 R3358CP  09/18/2015  Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM)  07/06/2015 8984 R3213CP  03/06/2015  Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibili ty for Medicals (ORM)   Rescinded and replaced by Transmittal 3358 07/06/2015 8984 R3167CP  01/15/2015  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  04/06/2015 8878 R3115CP  11/06/2014  Modifications to the National Coordination of Benefits Agreement 04/06/2015 8878 Rev #  Issue Date  Subject  Impl Date  CR#  (COBA) Crossover Process   Rescinded and replaced by Transmittal 3167 R2810CP  11/07/2013  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  04/07/2014 8454 R2670CP  03/14/2013  Modification to CWF, FISS, MCS and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch  10/01/2012 7260 R2515CP  08/08/2012  Handling Form CMS-1500 Hard Copy Claims Where and ICD -9-C< E Code or Where and ICD -10 V00-Y99 Code is Reported as the First Diagnosis on the Claim  01/07/2013 7700 R2449CP  04/26/2012  Modification to CWF, FISS, MCS and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch  Rescinded and  replaced by Transmittal 2670 10/01/2012 7260 R2229CP  05/25/2011  Modifications to the Common Working File (CWF) Logic In Support of the National Coordination of Benefits Agreement (COBA) Crossover Process  07/05/2011 6741 R2215CP  05/13/2011  Modifications to the COBA Process for Other Federal Payer Payment Order and Other Issues  10/03/2011 7393 R2189CP  04/04/2011  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  Stemming Principally From the Affordable Care Act (ACA)  04/04/2011 7136 R2138CP  01/21/2011  Modifications to the Common Working File (CWF) Logic In Support of the National Coordination of Benefits Agreement (COBA) Crossover Process  07/05/2011 6741 Rev #  Issue Date  Subject  Impl Date  CR#  Rescinded and replaced by Transmittal 2229 R2076CP  10/28/2010  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  Stemming Principally From the Affordable Care Act (ACA)   Rescinded and replaced by Transmittal 2189  04/04/2011 7136 R1893CP  01/15/2010  Paying Claims Without Common Working File (CWF) Approval  04/01/2010 6764 R1793CP  08/07/2009  Revision to the Selection Criteria for Recovery Audit Contractor (RAC) Adjustment Crossover Claims and for Fully Reimbursable Part B Claims  01/04/2010 6567 R1704CP  03/20/2009  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Pro cess 07/06/2009 and 10/05/2009 6343 R1703CP  03/20/2009  Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers Compensation Medicare Set -Aside Arrangements (WCMSAs) to Stop Conditional Payments 04/06/2009/ 07/06/2009 5371 R1665CP  01/09/2009  Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers Compensation Medicare Set -Aside Arrangements (WCMSAs) to Stop Conditional Payments - Rescinded and replaced by Transmittal 1703 04/06/2009/ 07/06/2009 5371 R1588CP  09/05/2008  Beneficiary Submitted Claims  08/18/2008 5683 R1568CP  08/01/2008  Health Insurance Portability and Acco untability Act (HIPAA) American National Standards Institute (ANSI) X12-N 837 version 5010 Changes Necessary for Coordination of Benefits (COB) and 01/05/2009 6103 Rev #  Issue Date  Subject  Impl Date  CR#  other Coordination of Benefits Agreement (COBA) Process Revisions  R1557CP  07/18/2008  Beneficiary Submitted Claims - Rescinded and replaced by Transmittal 1588 08/18/2008 5683 R1507CP  05/16/2008  Coordination of Benefits Agreement (COBA) and Affiliate National Provider Identifier (NPI) Process Modifications  10/06/2008 6024 R1497CP  05/02/2008  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  07/07/2008 6037 R1436CP  02/05/2008  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  Replaced by Transmittal 1497  07/07/2008 5866 R1399CP  12/19/2007  Handling Personal Identifiable Information on the Medicare Summary Notice  01/07/2008 5770 R1360CP  11/02/2007  Modifications to the Coordination of Benefits Agreement (COBA) Common Working File 04/07/2008 5766 R1332CP  08/31/2007  Transitioning the Mandatory Medigap (Claim Based) Crossover Process to the Coordination of Benefits Contractor (COBC)  10/01/2007 5601 R1296CP  07/18/2007  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  10/01/2007 5569 R1242CP  05/18/2007  Transitioning the Mandatory Medigap (Claim Based) Crossover Process to the Coordination of Benefits Contractor (COBC) - Replaced by Transmittal 1296 10/01/2007 5601 Rev #  Issue Date  Subject  Impl Date  CR#  R1232CP  04/27/2007  Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  10/01/2007 5569 R1189CP  02/28/2007  Differentiating Mass Adjustments From Other Types of Adjustments and Claims for Crossover Purposes and Revising the Detailed Error Report Special Provider Notification Letters  07/02/2007 5472 R1179CP  02/02/2007  Differentiating Mass Adjustments From Other Types of Adjustments and Clai ms for Crossover Purposes and Revising the Detailed Error Report Special Provider Notification Letters  Replaced by Transmittal 1189  07/02/2007 5472 R1110CP  11/09/2006  Excluding Sanctioned Provider Claims from the Coordination of Benefits Agreements (COBA) Crossover Process  04/02/2007 5353 R1038CP  08/25/2006  The Coordination of Benefits Agreement (COBA) Eligibility File Claims Recovery Process  01/02/2007 5250 R1006CP  07/21/2006  Modification to the Coordination of Benefits Agreement (COBA) Claims Selection Criteria and File Transfer Protocols 10/02/2006 5094 R980CP  06/14/2006  Changes Conforming to CR 3648 Instructions for Therapy Services - Replaces Rev. 941  10/02/2006 4014 R967CP  05/26/2006  Modification to the Coordination of Benefits Agreement (COBA) Claims Selection Criteria and File Transfer Protocols 10/02/2006 5094 R941CP  05/05/2006  Changes Conforming to CR 3648 Instructions for Therapy Services 10/02/2006 4014 Rev #  Issue Date  Subject  Impl Date  CR#  R533CP  04/29/2005  Modification to the Common Working File (CWF) Edit Process for Non -Assigned Medicaid Coordination of Benefits Agreement (COBA) Crosso ver Claims  07/05/2005 3842 R250CP  07/23/2004  Update of CWF Procedures 01/03/2005 3404 R158CP  04/30/2004  Transition to Medicare Coordination of Benefits Contractor (COBC)  10/04/2004 3273 R138CP  04/09/2004  Transition to Medicare Coordination of Benefits Contractor (COBC)  07/06/2004 3218 R098CP  02/06/2004  Transition to Medicare Coordination of Benefits Contractor (COBC)  07/06/2004 3109 R001CP  10/01/2003  Initial Publication of Manual NA NA Back to top of Chapter