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CMS Manual System
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.
Committee (NUBC) has provided clarified direction on the Patient’s Reason for Visit form locator (FL) in 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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