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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. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will only receive the new/revised information, and not the entire table of contents.
American National Standards Institute (ANSI) X12N 837 (HIPAA version) format electronic claims: CLIA number: An ANSI claim for laboratory testing will require the presence of the performing (and billing) laboratory’s CLIA number; if tests are referred to another laboratory, the
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