(Medicare Claims Processing Manual Crosswalk)

Medicare Claims Processing Manual Chapter 24 - EDI Support Requirements Crosswalk  New Chap. New Sect. Int. Pub 13. Carrier Pub. 14 Other Source Description 24 10 A3-3602.2  B3-3023.7  Provider Outreach and Marketing 24 10.1    Carrier or Intermediary Analysis of Internal Information 24                  10.1.1  B3-3023.7 Systems Information24 10.1.2  B3-3023.7  Review of Provider Profiles 24 10.2  B3-3023.7  Contact With New Providers 24 10.3  B3-3023.7  General Outreach and Marketing Activities 24 10.4 B3-3023.7  AB-01-19 Production and Distribution of Material to Market EDI 24 20 B3-3021.7,B3-3021.8 partial, B3-3022  Provider and Vendor EDI Enrollment 24 20.1 A3-3601.4   EDI Enrollment Form Section heading only 24 20.1.1  A3-3601.4 New Enrollments24 20.2 A3-3604 B3-3021.4 NSF Specs Submitter Number  New Chap. New Sect. Int. Pub 13. Carrier Pub. 14 Other Source Description 24                                      20.3 A3-3601.5,A3-3601.6,  A3-3601.7,  B3-3021.5, B3-3021.8 EDI Support Manual Release of Medicare Eligibility Data 24 20.4 A3-3601.8,  B3-3021.8  Network Services Agreement 24 20.5 A3-3602.2  B3-3023.5  EDI User Guidelines 24 30    Technical Requirements - Data, Media, and Telecommunications 24 30.1 A3-3600.1partial System Availability  24 30.2 A3-3600.1,A3-3602.1 B3-3023 Media24 30.3 A3-3602.1 B3-3023 Telecommunications/Protocols24 30.4  B3-3023.1  Carrier Toll-Free Service 24 30.5 B3-3023.4 Initial Editing24 30.6 Translators24 40  B3-3023.6 EDI Web site,  A-00-89, PM A-01-57, PM B-01-13 Required Electronic Data Exchange Formats With Providers and Submitters 24 40.1 A3-3602.6 B3-3023.6 Electronic Claims  and Claims Support Attachments  New Chap. New Sect. Int. Pub 13. Carrier Pub. 14 Other Source Description 24 40.1.1 A3-3602.6   Submitting Change Requests for the UB-92 24 40.1.2  B3-3025  Submitting Change Requests for the NSF 24 40.2  B3-3023.6  Electronic Claims Functional Acknowledgment 24                  40.3 A3-3750 B3-3023.6,B3-3024.5 PM A-01-57,  PM B-01-35 Remittance Records 24 40.3.1  A3-3750 B3-3023.6,B3-3024.5 PM A-01-57, PM B-01-35 Electronic Remittance Advice 24 40.3.2   PM AB-02-067,  PM AB-02-142,  PM AB-03-012 Standard Paper Remittance (SPR) Notices  24 40.3.3  PM A-01-057,PM B-01-35 Remark Codes 24 40.4 A3-3600.1,A3-3750,  A1 1430 B3-3023.6,  B3-4430   Electronic Funds Transfer 24 40.4.1  A3-3600.1partial, A1-1430 B3-4430  Payment Floor Requirement  New Chap. New Sect. Int. Pub 13. Carrier Pub. 14 Other Source Description 24                     40.4.2  A3-3600.1partial, A1-1430 B3-4430  Alternative to EFT 24 40.4.3  A3-3600.1partial, B3-4430  Tri-Partite Bank Agreement 24 40.5 B-02-051 partial,A-02-065 Electronic Beneficiary Eligibility Inquiry 24 40.6   EDI Support Manual Electronic Communication of Other Information 24 50 A3-3602.2 B3-3023.4 Testing24 50.1 A3-3602.2 B3-3023.4  Requirements for Initial Implementation for Submitters 24 50.2 A3-3602.2 B3-3023.4  Testing New Providers for Existing Submitters 24 50.3 A3-3602.2 B3-3023.4  Similar Provider Groups for Testing 24 50.4 A3-3602.2 B3-3023.4  Changes Initiated by CMS or Carrier or Intermediary 24 50.5 A3-3602.2 B3-3023.4  Changes in Provider's System or Vendor's Software 24 60    Provider Support and Training Section Heading-Only 24 60.1 A3-3600.7 B3-3023.6 User Guidelines24 60.2 A3-3600.7 B3-3023.7  Technical Assistance to EDI Trading Partners  New Chap. New Sect. Int. Pub 13. Carrier Pub. 14 Other Source Description 24 60.3 A3-3600.7 B3-3023.7  Training Content and Frequency 24                     60.4 B3-3024.1,3024.3  Prohibition from Requiring Proprietary Software 24 60.5  B3-3024.2, 3023  Free Claim Submission Software 24 60.6 A3-3751 B3-3024.4 PM B-01-35,  PM A-01-57  PC-Print Software 24 60.6.1  B3-3024.4 PM B-01-35 Medicare Standard PC-Print Carrier Software (PC-Print-B) 24 60.6.2 A3-3751  PM A-01-57 Medicare Standard Intermediary PC-Print Software (PC-Print- A) 24 60.7 A3-3600.7 B3-3023.7 Newsletters/Bulletin Board/Internet24 60.8  B3-3022 EDI Support Manual Provider Guidelines for Choosing a Vendor 24 60.8.1   EDI Support Manual Determining Goals/Requirements 24 60.8.2  B3-3022 partial EDI Support Manual Vendor Selection 24 60.8.3  Evaluating Proposals24 60.8.4    Negotiating with Vendors 24 70 A3-3602.3 Crossover Claims Requirements New Chap. New Sect. Int. Pub 13. Carrier Pub. 14 Other Source Description 24 70.1   A-01-20, A-02-069,  A-02-077, A-02-078, AB-02-20 Intermediary Requirements 24                      70.2 B-01-32, B-01-06, OCR/ICR definition created using outside IS dictionary Carrier/DMERC Requirements 24 80 SecuritySection heading only 24 80.1 A3-3601.1 B3-3021.1  Carrier or Intermediary Data Security and Confidentiality Requirements 24 80.2 A3-3601.2 B3-3021.2  Carrier and Intermediary EDI Audit Trails 24 80.3 A3-3601.3 B3-3021.3  Security-Related Requirements for Subcarrier or Intermediary Arrangements with Network Services