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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.

Note:

The following section of the 5010 CMC Billing and Technical Manual is not yet posted: TelePoint Submissions: Medi-Cal CMC, ANSI ASC X12N 837 v.5010 and NCPDP Batch Version 1.2. Please continue to check this page; this section is being finalized and will be posted soon.

5010 CMC BILLING AND TECHNICAL MANUAL

9,453 Bytes40,448 Bytes

CMC Billing and Technical Manual Table of Contents (ctm5010 0)

7,055 Bytes24,576 Bytes

How to Use This Manual (ctm5010 00)

11,588 Bytes38,400 Bytes

Special Billing Instructions: Medical and Allied Health Services (ctm5010 02)

11,729 Bytes39,424 Bytes

Special Billing Instructions: Inpatient and Outpatient Services (ctm5010 03)

8,275 Bytes27,136 Bytes

CMC Data Specifications General Information (ctm5010 04)

11,368 Bytes37,376 Bytes

Testing and Activation Procedures ctm5010 05

8,209 Bytes28,160 Bytes

NCPDP Batch Version 1.2 Pharmacy Drug Claims (Section 1.0) (ctm5010 06)

15,489 Bytes78,848 Bytes

General Batch Transmission File Formatting (Section 1.1) (ctm5010 07)

12,028 Bytes62,464 Bytes

Version D.0 Transaction Information (Section 1.2) (ctm5010 08)

20,449 Bytes112,128 Bytes

Pharmacy Billing – Request (Section 1.2.5) (ctm5010 09)

17,879 Bytes96,256 Bytes

Pharmacy Billing – Responses (Section 1.2.6) ctm5010 10

12,717 Bytes61,952 Bytes

Pharmacy Billing – Response Error Message System (Section 1.2.7) (ctm5010 11)

11,962 Bytes43,520 Bytes

CMC Error Codes and Messages (ctm5010 12)

93,367 Bytes559,104 Bytes

Recipient ID Check Digit Algorithms (ctm5010 13)

8,444 Bytes49,664 Bytes

CMC Submission: Valid Character Input (ctm5010 14)

211,059 Bytes453,120 Bytes

Billing Instructions: Acceptable Claims, Attachments and ASC X12N 835 v.5010 Transactions (ctm5010 14a)

8,870 Bytes30,208 Bytes

Submitter Control Record Data Specifications – CHDP Claim Types (ctm5010 15)

8,902 Bytes30,208 Bytes

Provider Control Record Data Specifications – CHDP Claim Type (ctm5010 16)

42,235 Bytes249,856 Bytes

Claim Type 11 (CHDP) Claim Record Data Specifications (ctm5010 17)

8,552 Bytes29,184 Bytes

Claim Type 11 (CHDP) Remarks Record Data Specifications (ctm5010 18)

13,500 Bytes30,720 Bytes

CMC Technical Manual Cover (ctm5010 cover)

5010 CMC Manuals Current As Of: 03/02/2015



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