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CMS Manual System
CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-04 Medicare Claims ProcessingCenters for Medicare & Medicaid Services (CMS) Transmittal 85 Date: FEBRUARY 6, 2004 CHANGE REQUEST 3090 I. SUMMARY OF CHANGES: Carrier standard systems would price the payment of referred services based upon the zip code of where the service was performed versus the current use of a reference use only PIN. NEW/REVISED MATERIAL - EFFECTIVE DATE: July 1, 2004 *IMPLEMENTATION DATE: July 6, 2004 Disclaimer for Manual changes only: The revision date and transmittal number apply only to the red italicized material.
The independent laboratory submits a single claim for CLIA-covered laboratory tests and reports the billing laboratory’s number in: X12N 837 (HIPAA version) loop 2300, REF02. REF01 = X4 ANSI Electronic claim: billing laboratory performs some laboratory testing; some testing is referred to another laboratory.
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