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CMS 837P TI COMPANION GUIDE January 2018 1 CMS Standard Companion Guide Transaction Information Instructions related to the 837 Health Care Claim: Professionals based on ASC X12 Technical Report Type 3 (TR3), version 005010A1 Companion Guide Version Number: January 30, 2018 CMS 837P TI COMPANION GUIDE January 2018 2 Preface Companion Guides (CGs) may contain two types of data, instructions for electronic communications with the publishing entity (Communications/Connectivity Instructions) and supplemental information for creating transactions for the publishing entity while ensuring compliance with the associated ASC X12 IG (Transaction Instructions).

appropriate format based on the respective qualifier. Failure to submit a valid calendar date will result in rejection of the claim or the applicable interchange (transmission). 2 A. You may send up to four modifiers; however, the last two modifiers will not be considered. The Contractors processing system will only use the first two modifiers for

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