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Medi-Cal Computer Media Claims (CMC) Billing and Technical Manual

The Computer Media Claims (CMC) Billing and Technical Manual is being updated on an ongoing basis to reflect the new HIPAA 5010 and NCPDP D.0/1.2 formats. The updated sections will be posted under the “5010 CMC Billing and Technical Manual” heading as they are completed.

Click on the appropriate manual below to view the sections.

5010 CMC BILLING AND TECHNICAL MANUAL

20,701 Bytes112,640 Bytes

Pharmacy Billing – Request (Section 1.2.5) (ctm5010_09)

17,888 Bytes96,256 Bytes

Pharmacy Billing – Responses (Section 1.2.6) (ctm5010_10)

5010 CMC Manuals Current As Of: 05/11/2012

4010 CMC BILLING AND TECHNICAL MANUAL

21,408 Bytes46,080 Bytes

CMC Technical Manual Cover

5,396 Bytes28,160 Bytes

CMC Manual Table of Contents

3,787 Bytes29,696 Bytes

How to Use This Manual ctm00

7,586 Bytes47,104 Bytes

TelePoint Submissions: Medi-Cal CMC, ANSI ASC X12N 837 v.4010A1 and NCPDP Batch Version 1.1 ctm01

7,862 Bytes48,640 Bytes

Special Billing Instructions: Medical and Allied Health Services ctm02

7,908 Bytes43,520 Bytes

Special Billing Instructions: Inpatient and Outpatient Services ctm03

4,993 Bytes36,352 Bytes

CMC Data Specifications General Information ctm04

8,071 Bytes47,104 Bytes

Testing and Activation Procedures ctm05

5,011 Bytes37,376 Bytes

NCPDP Batch Version 1.1 Pharmacy Drug Claims (Section 1.0) ctm06

12,129 Bytes90,624 Bytes

General Batch Transmission File Formatting (Section 1.1) ctm07

6,963 Bytes49,152 Bytes

Version 5.1 Transaction Information (Section 1.2) ctm08

23,179 Bytes162,816 Bytes

Pharmacy Billing – Request (Section 1.2.5) ctm09

19,771 Bytes148,992 Bytes

Pharmacy Billing – Responses (Section 1.2.6) ctm10

6,502 Bytes38,912 Bytes

Pharmacy Billing – Response Error Message System (Section 1.2.7) ctm11

7,612 Bytes46,080 Bytes

CMC Error Codes and Messages ctm12

86,400 Bytes564,736 Bytes

Recipient ID Check Digit Algorithms ctm13

5,280 Bytes53,248 Bytes

CMC Submission: Valid Character Input ctm14

5,298 Bytes33,280 Bytes

Submitter Control Record Data Specifications – CHDP Claim Types ctm15

5,474 Bytes34,816 Bytes

Provider Control Record Data Specifications – CHDP Claim Type ctm16

21,699 Bytes147,456 Bytes

Claim Type 11 (CHDP) Claim Record Data Specifications ctm17

5,055 Bytes32,768 Bytes

Claim Type 11 (CHDP) Remarks Record Data Specifications ctm18

Click here to download all sections of the 4010 CMC Billing and Technical Manual (385 KB PDF)

4010 CMC Manuals Current As Of: 12/18/2008



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