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CMS Manual System De partme nt of He alth & Human Se rvice s (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & M e dicaid Se rvice s (CM S) Trans mittal 3435 Date : December 31, 2015 Change Request 9450 SUBJECT: Clarification on Patie nt s Re ason for Visit Ne cessary to Capture HIPAA Compliant Fie lds I. SUMMARY OF CHANGES: In order for Medicare to process HIP AA compliant claim information located on the UB-04, or 837I transaction appearing on the claim form, the Centers for Medicare and Medicaid Services (CMS) needs to clarify the usage of the P atient's Reason for Visit (P VR) used for processing claims. EFFECTIVE DATE: July 1, 2015 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: March 31, 2016 Disclaimer for Manual changes only: The revision date and transmittal number apply only to red italicized material.

CMS Manual System Department of Health & Human Services (DHHS) Pub 100 -04 Medicare Claims Processing Centers for Medicare & ... the 2016 Data Specifications Manual. The purpose of this CR is to ensure correct education and editing for institutional claims processing system fields.

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