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HIPAA: CMC Billing and Technical Manual Update: New Sections and Supplemental Materials

August 1, 2012

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 have been posted under the “5010 CMC Billing and Technical Manual” heading on the CMC Billing and Technical Manual page. The following sections have been updated:

  • Special Billing Instructions: Medical and Allied Health Services; ctm5010 02
  • Special Billing Instructions: Inpatient and Outpatient Services; ctm5010 03
  • CMC Data Specifications General Information; ctm5010 04

Additionally, a new supplemental material section titled Billing Instructions:  Acceptable Claims, Attachments and ASC X12N 835 v.5010 Transactions (ctm5010 14a) has been added to the appendix of the CMC Billing and Technical Manual. The information contained in this section was previously available in the Billing Instructions section of the 837 Version 4010A1 Health Care Claim Companion Guide.

Providers with questions regarding HIPAA 5010 implementation can call the Telephone Service Center (TSC) at 1-800-541-5555.