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June 26, 2009

Remittance Advice Requirement for Contacting Customer Service

Beginning July 13, 2009, you will need to have your Remittance Advice (RA) available when contacting the DME MAC Jurisdiction C Provider Contact Center if your request is for information that can be found on your RA. If you contact a Customer Service Representative (CSR) with a question that can be found on your RA, the CSR will educate you on how to read the RA. If you do not have your RA present at the time of the call, the CSR will instruct you to call back once you have the RA present. This requirement will also apply to any clearinghouse, billing company, or any other outsourced billing staff who may call on a DMEPOS supplier's behalf.

This new rule is based on a CMS requirement which can be found in the Internet-Only Manual (IOM), Publication 100-09, Medicare Contractor Beneficiary and Provider Communications Manual, Chapter 6, Section 80.3.4. You may view the manual at the following link: http://www.cms.hhs.gov/manuals/downloads/com109c06.pdf Acrobat PDF

For more information regarding the Remittance Advice, please visit the links below:


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