evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
Due to restriction on space, the content area for this subsection begins (0, 0.97).  This should top align with the Get More Details subsection in the left column.   If the contractor needs 5 lines for the mailing address, delete GR 4.1 space between step 7 and the MAC address to fit the gray box withi n the page.     FORMATTING  [GR 1] gray fill  [TH 3] subsection header  [GR 4.1] space after header  [TB 2.1] body text  [GR 4.1] space after header  [TB 2.2] step 1 [TB 2.1] body text  [GR 4.1] space after header  [TB 2.2] step 2 [TB 2.1] body text  [GR 4.1] space  after header  [TB 2.2] step 3 [TB 2.1] body text  [GR 4.1] space after header  [TB 2.1] fill in category  [GR 5] space after text  [GR 7] fill in box [GR 6] space after text  [TB 2.1] fill in category  [GR 5] space after text  [GL 7] fill in box  [GR 4.1] space after header  [TB 2.2] steps 4 -  7 [TB 2.1] body text  [TB 2.2] MAC address   N. Spanish RRB S MAC MSNs (10.3.12)   The Spanish RRB Part B MSNs follow the same content and specifications variations in this section. See Exhibit 3.9 for translations specific to RRB Part B MSNs.   30 - Exhibits  (Rev. 3210, Issued: 03- 03-15, Effective: 04- 16-15. Implementation: 04- 16-15)  Exhibits are only available electronically.  Click on this link to view them: http://www.cms.gov/Regulations -and-Guidance/Guidance/Manuals/Internet -Only -Manuals -IOMs -Items/CMS018912.html?DLPage=1&DLSort=0&DLSortDir=ascending After clicking  on the link, scroll down the webpage until you see Chapter 21 listed.  The Exhibits are directly below that.
(Medicare Claims Processing Manual)
30.1 - Exhibits of the Extended Family of MSNs in Black & White  (Rev. 3210, Issued: 03- 03-15, Effective: 04- 16-15. Implementation: 04- 16-15)  Exhibit 1.1 -  Part A, Inpatient  Exhibit 1.2 -  B of A  Exhibit 1.3 - Hospice  Exhibit 1.4 - Home Health  Exhibit 1.5 -  Part B, Assigned  Exhibit 1.6 -  Part B, Unassigned  Exhibit 1.7 -  DME, Assigned  Exhibit 1.8 -  DME, Unassigned  Exhibit 1.9 -  RRB Part B, Assigned   30.2 - Exhibits of Alternate Scenarios  (Rev. 3210, Issued: 03- 03-15, Effective: 04- 16-15. Implementation: 04- 16-15)  Exhibit 2.1 -  Duplicate MSN Header  Exhibit 2.2 -  Multiple Deductible Types on Part B MSN  Exhibit 2.3 -  Multiple Deductible Years and Benefi t Days on a Part A and Part  B of A  Combined  Exhibit 2.4 -  Provider List with Tag Exhibit 2.5 -  Provider Header Format  Exhibit 2.6 -  Multiple Dates and/or Providers Subtitle  Exhibit 2.7 -  Part A Inpatient None -Remain Benefit Days  Exhibit 2.8 -  Adjusted C laim Exhibit 2.9 -  Continued Claims with Continuation Box  Exhibit 2.10 -  Breaking Claims with Long Notes  Exhibits 2.11 -  Combined Claims, Part A Inpatient and  B of A  Combined  Exhibit 2.12 -  Combined Claims, Part B Assigned and Unassigned  Exhibit 2.13 -  Pay MSN  Exhibit 2.14 -  Non -Pay Envelopes  Exhibit 2.15 -  Pay Envelope & Envelope Liner  Exhibit 2.16 -  Part A Inpatient Claims with no claims on page 3  Exhibit 2.15 -  Part B Claims with no claims on page 3   30.3 - Exhibits of MSNs in Spanish  (Rev. 3210, Issued: 03 -03-15, Effective: 04- 16-15. Implementation: 04- 16-15)
(Medicare Claims Processing Manual)
30.3 - Exhibits of MSNs in Spanish  (Rev. 3210, Issued: 03 -03-15, Effective: 04- 16-15. Implementation: 04- 16-15)  Exhibit 3.1 -  Spanish Part A, inpatient  Exhibit 3.2 -  Spanish B of A  Exhibit 3.3 -  Spanish Hospice  Exhibit 3.4 -  Spanish Home Health (A)  Exhibit 3.5 -  Spanish Part B, assigned  Exhibit 3.6 -  Spanish Part B, unassigned  Exhibit 3.7 -  Spanish DME, assigned  Exhibit 3.8 -  Spanish DME, unassigned  Exhibit 3.9 -  Spanish RRB Part B, assigned  Exhibit 3.10 -  Spanish duplicate MSN header  Exhibit 3.11 -  Spanish m ultiple deductible types on Part B MSN  Exhibit 3.12 -  Spanish multiple deductible years and benefit days on a Part A Inpatient and  B of A  combined  Exhibit 3.13 -  Spanish provider list with tag Exhibit 3.14 -  Spanish fee line with large amount and none remain benefit days  Exhibit 3.15 -  Spanish adjusted claim  Exhibit 3.16 -  Spanish Pay MSN  Exhibit 3.17 -  Alternate language for SHIP Contact Info   30.4 - Exhibits of the Extended Family of MSNs in Color  (Rev. 3210, Issued: 03- 03-15, Effective: 04- 16-15. Implementation: 04- 16-15)  This chapters specifications are detailed for black & white printing.  Color printing is not being implemented at this time.  However, it is possible that MACs may be encouraged to print in color in the future.   In regards to the MSN, color refers to the usage of blue and black ink only.  The approved blue ink color for Centers for Medicare & Medicaid Services publications is PMS 300, in the Pantone Matching System.   For additional color specifications, please refer to the exhibits below.   Exhibit 4.1 -  Part A, Inpatient Color  Exhibit 4.2 -  Part B, Assigned Color  Exhibit 4.3 -  DME, Assigned Color   40 - General Information, Explanatory, and Denial Messages  (Rev. 3210, Issued: 03- 03-15, Effective: 04- 16-15. Implementation: 04- 16-15)
(Medicare Claims Processing Manual)
40 - General Information, Explanatory, and Denial Messages  (Rev. 3210, Issued: 03- 03-15, Effective: 04- 16-15. Implementation: 04- 16-15)  General Information (GI) messages are used on pages 1 and 2 of the MSN, under the Be Informed!  How to Report Fraud , and Your Messages from Medicare sections.  GI messages are messages that communicate important information about the Medicare program or that serve as important reminders to benefi ciaries.  CMS communicates which messages to use, and when to use them, via Technical Direction Letters (TDLs) or Change Requests (CRs).   Explanatory and Denial messages appear under the claims section of the MSN.  Their purpose is to concisely communicate  essential information to the beneficiary regarding claim determinations or to serve as an educational tool.  The MSN message file is found at the  hyperlink at the bottom of this section.  Messages are grouped in categories for ease of reference only.  Unl ess specific messages are specified in instructions by CMS, MACs should select and use the most appropriate message(s) for each situation to explain the action taken on a service, item, or claim.  MACs are instructed to use the most appropriate message for  each situation regardless of message category.   Use multiple messages as appropriate including ones grouped within different categories.  Use the message(s) which best explains the situation(s) in the claim.   All denied or reduced services must have an ex planation.  The BBA of 1997 requires the amount of Medicare payment for each service be included on all Part A Benefit notices, including the MSN and Notice of Utilization  (NOU.)  MACs use message 16.53 on all A/B MAC (A) or (HHH) generated notices with payments.  The MAC may combine add -on messages with existing messages to create a single message within its file.   Each message on the file is tied to an alphabetic code o n the MSN.  Print no more than three alphabetic codes per claim level and three alphabetic codes per service line.   Messages containing fill- in blanks may be left as blanks for filling in by the system or may be entered into the system with blanks pre -filled to create as many specific messages as there are fill -in situations.  The message numbering in this section does not have to be used in MAC message generating systems.
(Medicare Claims Processing Manual)
The message numbering in this section does not have to be used in MAC message generating systems.   Certain messages are mandated.  These messages and the situations for which they are mandated are identified in the MSN message file at the hyperlink at the end of this section.  This does not eliminate the need to use other messages required by instructions elsewhere in the manual.   Beneficiary liability Add -on messages should be print ed in addition to denial and reduction messages for charges which the beneficiary is determined not liable.  Liability Add -on messages should print for denials or reductions such as:    Services that are part of another service or bundled code;    Services d etermined not to be medically necessary in situations where the beneficiary was not notified in writing, prior to receipt of the service, that Medicare may not make payment;    Duplicate charges; and    Denials for utilization reasons.   The complete list of MS N messages is only available electronically.  Click on this link to view them: http://www.cms.gov/Medicare/Medicare -General -Information/MSN/index.html   Transmittals Is sued for this Chapter  Rev #  Issue Date  Subject  Impl Date  CR#  R11510CP  07/28/2022 Masking the Medicare Beneficiary Identifier (MBI) on the Medicare Summary Notice (MSN)  01/03/2023 12801 R11509CP  07/28/2022 Cessation of Use of MyMedicare.gov Web Address  01/03/2023 12798 R10180CP  06/12/2020 Removal of Signature Line from Appeals Page of the Medicare Summary Notice (MSN) and MSN Envelope Correction  10/05/2020 11609 R10072CP  05/01/2020 Removal of Signature Line from Appeals Page of the Medicare Summary Notice (MSN) and MSN Envelope Correction-  Rescinded and replaced by Transmittal 10180 10/05/2020 11609 R4286CP  04/26/2019 Update to Chapter 21 in Publication (Pub.) 100- 04 to Provide Language -Only Changes for the New Medicare Card Project
(Medicare Claims Processing Manual)
05/28/2019 11221 R4007CP  03/22/2018 Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) / Level 1 Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Summary Notices (MSNs)   07/02/2018 10286 R3968CP  02/02/2018 Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) / Level 1 Healthcare Common Procedure Coding Sy stem (HCPCS) Codes and a Correction to the Part A Spanish Medicare Summary Notices (MSNs)   Rescinded and replaced by 07/02/2018 10286 Rev #  Issue Date  Subject  Impl Date  CR#  Transmittal 4007
(Medicare Claims Processing Manual)
R3210CP  03/03/2015 Final MSN Redesign -Related Update to Chapter 21 of the Medicare Claims Processing Manual  04/16/2015 8626 R3195CP  02/13/2015 Final MSN Redesign -Related Update to Chapter 21 of the Medicare Claims Processing Manual   Rescinded and replaced by Transmittal 3210 04/16/2015 8626 R2522CP  08/21/2012 Redesign of the Medicare Summary Notice (MSN) -Final Implementation and Major Update to Chapter 21 of the Medicare Claims Processing Man ual  Rescinded and replaced by Transmittal 2522 07/02/2012 7676 R2419CP  03/07/2012 Redesign of the Medicare Summary Notice (MSN) -Final Implementation  and Major Update to Chapter 21 of the Medicare Claims Processing Manual  Rescinded and replaced by Transmittal 2522 07/02/2012 7676 R2411CP  02/03/2012 Redesign of the Medicare Summary Notice (MSN) -Final Implementation and Major Update to Chapter 21 of the Medicare Claims Processing Manual  Rescinded and replaced by Transmittal 2419 07/02/2012 7676 R1802CP  08/28/2009 Expansion of the Number of Services Fields in Medicare Summary Notices (MSNs)  01/04/2010 6577 R1579CP  08/21/2008 Modification to Existing Medicare Summary Notices (MSN) Procedures Regarding the MSN Customer Service Information Box, Beneficiary Est ate Information and the Appeals Address  07/07/2008 5889 Rev #  Issue Date  Subject  Impl Date  CR#  R1546CP  07/01/2008 Modification to Existing Medicare Summary Notices (MSN) Procedures Regarding the MSN Customer Service Information Box, Beneficiary Estate Information and the Appeals Address - Rescinded and replaced by Transmittal 1579 07/07/2008 5889 R1500CP  05/02/2008 Modification to Existing Medicare Summary Notices (MSN) Procedures Regarding the MSN Customer Service Information Box, Beneficiary Estate Information and the Appeals Address - Rescinded and replaced by Transmittal 1546 07/07/2008 5889 R1491CP  04/11/2008 New Process for Accessing MSN Messages and MSN Message File  05/12/2008 5964 R1467CP  02/29/2008 Modification to Existing Medicare Summary Notice (MSN) Procedures Regarding the MSN
(Medicare Claims Processing Manual)
04/11/2008 New Process for Accessing MSN Messages and MSN Message File  05/12/2008 5964 R1467CP  02/29/2008 Modification to Existing Medicare Summary Notice (MSN) Procedures Regarding the MSN Customer Service Information Box  03/31/2008 5959 R1444CP  02/08/2008 Modification to Existing Medicare Summary Notices (MSN) Procedures Regarding the MSN Customer Service Information Box, Beneficiary Est ate Information and the Appeals Address  Replaced by Transmittal 1500  07/07/2008 5889 R1420CP  01/25/2008 Clarification Regarding the Coordination of Benefits Agreement (COBA) Medigap Claim- Based Crossover Process  02/01/2008 5837 R1399CP  12/19/2007 Handling Personal Identifiable Information on the Medicare Summary Notice  01/07/2008 5770 R1392CP  12/14/2007 New Medicare Summary Notice (MSN) General Information Section Message Regarding Medicare Re cords for New 01/07/2008 5841 Rev #  Issue Date  Subject  Impl Date  CR#  Retirees, and Modification to Update the MSN Messages  R1380CP  11/23/2007 Modification to Update the Medicare Summary Notice (MSN) Messages and the MSN Customer Service Information Box 01/07/2008 5799 R1347CP  09/28/2007 MSN Message: Revised 38.13 10/29/2007 5722 R1106CP  11/09/2006 Outpatient Therapy Cap Clarifications  01/02/2007 5271 R1090CP  10/27/2006 Medicare Summary Notice (MSN) Format Changes for Jurisdiction 3 A/B MAC  04/02/2007 5342 R955CP  05/19/2006 Quarterly Medicare Summary Notice (MSN) Printing Cycle  06/12/2006 5062 R945CP  05/12/2006 Quarterly Medicare Summary Notice (MSN) Printing Cycle  06/12/2006 5062 R922CP  04/28/2006 MSN Format Changes for DMERCs and the DME MA C Transition  07/03/2006 5071 R866CP  02/17/2006 Additional Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs  07/03/2006 4309 R854CP  02/13/2006 MSN Format Changes for DMERCs and the DME MAC Transition  07/03/2006 4341
(Medicare Claims Processing Manual)
Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs  07/03/2006 4309 R854CP  02/13/2006 MSN Format Changes for DMERCs and the DME MAC Transition  07/03/2006 4341 R839CP  02/06/2006 Additional Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs  07/03/2006 4309 R830CP  02/02/2006 Denial of Claims Not Timely Filed  07/03/2006 4041 R638CP  08/05/2005 New Medicare Summary Notices (MSN) Messages  01/03/2006 3957 Rev #  Issue Date  Subject  Impl Date  CR#  R603CP  07/15/2005 Modification to the Appeals Language on the Medicare Summary N otice  10/03/2005 3924 R587CP  06/17/2005 New Location for Contractor ID Number on Medicare Summary Notices (MSNs)  7/11/2005 3895 R581CP  06/10/2005 New Location for Contractor ID Number on Medicare Summary Notices (MSNs)  07/11/2005 3895 R535CP  04/29/2005 Modification to the Appeals Language on the Medicare Summary Notice  10/03/2005 3808 R450CP  01/27/2005 Enforcement of Mandatory Electronic Submission of Medicare Claims  07/05/2005 3440 R435CP  01/14/2005 Enforcement of Mandatory Electronic Submission of Medicare Claims  07/05/2005 3440 R401CP  12/16/2004 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices  01/24/2005 3600 R393CP  12/10/2004 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices  01/24/2005 3600 R308CP  10/01/2004 Two New Medicare Summary Notice (MSN) Messages for Parenteral Pum ps-DMERC Only  10/04/2004 3506 R298CP  09/10/2004 Carriers, Reason and Remark Codes  09/25/2004 2617 R295CP  09/03/2004 Carriers, Reason and Remark Codes  09/25/2004 2617 R249CP  07/23/2004 New Medicare Summary Notice Message for Claim Adjustments  01/03/2005 2989 R227CP  07/09/2004 MSN Message 15.19 Is Updated, and 15.20 Is Manualized for the First Time
(Medicare Claims Processing Manual)
07/23/2004 New Medicare Summary Notice Message for Claim Adjustments  01/03/2005 2989 R227CP  07/09/2004 MSN Message 15.19 Is Updated, and 15.20 Is Manualized for the First Time  08/09/2004 3222 R214CP  06/25/2004 Carriers, Reason and Remark Codes  09/25/2004 2617 Rev #  Issue Date  Subject  Impl Date  CR#  R159CP  04/30/2004 Implementation of National 1 -800-MEDICARE  06/01/2004 3195 R094CP  02/06/2004 Additional Information in Medicare Summary Notices (MSNs) to Beneficiaries About Skilled Nursing Facility (SNF) Benefits  07/06/2004 3098 R001CP  10/01/2003 Initial Publication of Manual  NA NA Back to top of chapter
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Medicare Claims Processing Manual Chapter 21 - Medicare Summary Notices  New Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs                               Other Description21 10 A-00-95,B-00-72, A-97-8, AB-98-31, B-98-4, A-99-48, AB-01-23  General MSN Requirements 21 10.1 A3-3726 A-99-48,A-01-54  General Requirements for the Medicare Summary Notice (MSN) 21 10.2     Correction/Reissuance of Faulty MSNs 21 10.3 A-99-48 Carrier and Intermediary Instructions for Preparing Medicare Summary Notice 21 10.3.1 A3-3726.1  AB-98-31  General Requirements - MSN 21 10.3.2 A3-3726.2 BB3-7003   Basic Concepts and Approaches 21 10.3.3 A3-3726.3 B3-7004   Format for the MSN 21 10.3.4 A3-3726.4 B3-7006   Technical Specifications for the Medicare Summary Notice (MSN) 21 10.3.5 A3-3726.5 B3-7006.1 AB-98-31,AB-02-106  Title Section of the MSN 21 10.3.6 A3-3726.6 B3-7006.2 A-00-36  Claims Information Section 21 10.3.7 A3-3726.7 B3-7006.3 Message SectionNew Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21
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10.3.8 A3-3726.8 B3-7006.4 AB-02-106  Appeals Section21 10.3.9 A3-3726.9 B3-7006.5 Continuation Page21 10.3.10  MSN Calculations21 10.3.10.1  A3-3726.10 Intermediary Calculations21 10.3.10.2 B3-7007.1 Carrier Calculations21 10.3.11 A3-3726.11,A3-3726.11  B3-7008, B3-7008 A-00-58, A-01-93  Back of the MSN - Carriers and Intermediaries 21 10.3.12 A3-3726.12 B3-7010   Separation of Claim Line Items on MSN 21 10.3.13 A3-3726.13 B3-7011   Suppression of Claims from MSNs 21 20     Specifications for Spanish MSN 21 20.1  B3-7006.6 AB-02-106  Spanish MSN  21 20.2 Disclaimer Section21 20.3 B3-7006.7 Title Section21 20.4  B3-7006.8   Claims Information Section 21 20.5 B3-7006.9 Message Section21 20.6 B3-7006.10  AB-02-106  Appeals Section21 20.7  B3-7006.11 A-99-48  Text and Specifications for Spanish MSN Back 21 20.7.1     Carrier Spanish MSN Back 21 20.8 A-99-48,A-01-93  Intermediary Spanish MSN Back 21 30 ExhibitsNew Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21 30.1
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A3-3726.13 Intermediary Exhibits21 30.2 B3-7012 Carrier Exhibits21 40 A3-3726.14 B3-7013   Explanatory and Denial Messages 21 50 A3-3726.14A B3-7014 AB-02-106  Categories and Id entification Numbers for Approved MSN Messages  21 50 B-02-047,AB-02-155,AB-02-151  Categories and Identification Numbers for Approved MSN Messages  21 50.1 Ambulance21 50.2 Blood21 50.3 Chiropractic21 50.4 ESRD21 50.5 Name/Number/Enrollment21 50.6 Drugs21 50.7 B-02-047 Duplicates21 50.8 B-01-13,B-02-029  Durable Medical Equipment 21 50.9     Failure to Furnish Information 21 50.10 Foot Care21 50.11  A3-3110   Transfer of Claims 21 50.12 Hearing Aids21 50.13 B-00-67,AB01159 Skilled Nursing Facility New Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description AB-01-159 21 50.14                                                                                 Laboratory21 50.15 AB-01-79,AB-02-155,A-03-068 Medical Necessity21 50.16 B-01-10,B-01-21, AB-01-79, A-01-69, A-01-132 Miscellaneous21 50.17 AB-03-057 Non-Physician Services21 50.18 AB-02-010 Preventive Care21 50.19 Hospital Based Physicians21 50.20 AB-02-151 Benefit Limits21 50.21 Restriction to Coverage21 50.22 Split Claims21 50.23 Surgery21 50.24 AB-02-106 Fraud And Abuse Section (Help Stop Fraud) 21 50.25     Time Limit For Filing 21 50.26 Vision21 50.27 HospiceNew Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21 50.28     Mandatory Assignment for Ph ysician Services Furnished for Medicaid Patients 21 50.29
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MSP21 50.30     Reasonable Charge And Fee Schedule 21 50.31 Adjustments21 50.32 Overpayments/Offsets21 50.33 Ambulatory Surgical Care21 50.34   B-01-21  Patient Paid / Split Payment 21 50.35     Supplemental Coverage / Medigap 21 50.36 Limitation of Liability21 50.37 Deductible/Coinsurance21 50.38 AB-02-106 General Information Section21 50.41 Home Health Messages21 50.42 AB-00-30 Religious Nonm edical Health Care Institutions 21 60 Add-On Messages21 70 Mandated Messages21 80 B-00-48,AB-01-30, AB-01-97, AB-01-14 Demonstration ProjectNew Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21                                                                            90 A3-3110 A-99-48,B-02-047 Spanish Messages21 90.1 Ambulancia21 90.2 Sangre21 90.3 Quiroprctico21 90.4 Deficiencia Renal Terminal21 90.5 Nmero/Nombre/Inscripcin21 90.6 Drogas21 90.7 B-02-047 Duplicados21 90.8 B-01-13,B-02-029  Equipo Mdico Duradero  21 90.9     Falta De Informacin Sometida  21 90.10     Cuidado De Los Pies  21 90.11  A3-3110   Reclamaciones Transferidas  21 90.12 Audifonos21 90.13 B-00-67,AB-01-159  Instalacion De Enfermeria Especializada 21 90.14 Laboratorios21 90.15 AB-01-79,AB-02-155,A-03-068  Necesidad Medica  New Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21
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90.16 B-01-10.AB-01-79, B-01-21, A-01-69, A-01-132 Miscelaneo21 90.17   AB-03-057  Servicios Que No Fueron Prestados Por Doctores  21 90.18 AB-02-010 Cuidado Preventivo21 90.19     Servicios Medicos Prestados En Un Hospital  21 90.20   AB-02-151  Limites En Los Beneficios  21 90.21     Restricciones A La Cobertura  21 90.22 Reclamaciones Separadas21 90.23 Cirugia21 90.24 AB-02-106 Mensajes Para Ayudar A Detener El Fraude  21 90.25     Tiempo Limite De Enviar La Reclamacion  21 90.26 Vision21 90.27 Hospicio21 90.28 Asignacion Mandatoria21 90.29 MSP21 90.30 Cargos Razonables21 90.31 Ajustes21 90.32 SobrepagosNew Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21 90.33     Cuidado Quirurgico Ambulatorio  21 90.34   B-01-21  Patient Paid / Split Payment 21 90.35     Cubierta Suplementaria/ Medigap  21 90.36     Reclamaciones Cuando Se Acepta Asignacin  21 90.37
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Deducible/Coaseguro21 90.38   AB-02-106  Seccion De Informacin General 21 90.39     Section 39-Spanish ADD-ON Messages 21 90.40     Section 40-Spanish Mandated Messages 21 90.41     HHA - Agencia De Servicios De Salud En El Hogar 21 90.42 AB-00-30 Servicios De Cuidado De Salud No Medico Religioso 21 90.43 AB-01-30 Projecto Especial (Demostraciones)21 90.43 AB-01-30,AB-01-97, AB-01-149  Projecto Especial (Demostraciones) 21 100   AB-98-59  Detailed Map From MSN to ANSI X12 Remittance Message Codes 21 100.1 Ambulance21 100.2 Blood21 100.3 Chiropractic21 100.4 ESRD21 100.5 Name/Number Enrollment21 100.6 DrugsNew Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21 100.7                                                                                             Duplicates21 100.8 B-01-13,B-02-029  Durable Medical Equipment 21 100.9     Failure to Furnish Information 21 100.10 Foot Care21 100.11 Transfer of Claims21 100.12 Hearing Aids21 100.13 B-00-67,AB-01-159  Skilled Nursing Facility 21 100.14 Laboratory21 100.15 Medical Necessity21 100.16 B-01-10,A-01-132, A-01-69, AB-01-79, B-01-21 Miscellaneous21 100.17 Non-Physician Services21 100.18 Preventive Care21 100.19 Hospital Based Physicians21 100.20 Benefit Limits21 100.21 Restriction to Coverage21 100.22 Split ClaimsNew Chap. New Sect. Int.  Pub. 13 Carrier Pub. 14 PMs Other Description 21 100.23