Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of CARC, RARC and CAGC Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

MLN Matters Number: MM11881
Related CR Release Date: August 28, 2020
Related CR Transmittal Number: R10324CP
Related Change Request (CR) Number: 11881
Effective Date: January 1, 2021
Implementation Date: January 4, 2021

CR 11881 informs you that Medicare will update its claims processing systems based on the Committee on Operating Rules for Information Exchange (CORE) 360 Uniform use of Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Claim Adjustment Group Code (CAGC) rule publication. These system updates are based on the CORE, Code Combination List, which will be published on or about October 1, 2020. Make sure that your billing staffs are aware of these updates.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11881.


            Last Updated Tue, 01 Sep 2020 15:00:23 +0000