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

How to Use This Manual (ctm5010_00) (Revision Date Aug 14, 2020) | (94KB)

Special Billing Instructions: Medical and Allied Health Services (ctm5010_02) (Revision Date Aug 14, 2020) | (117KB)

Special Billing Instructions: Inpatient and Outpatient Services(ctm5010_03) (Revision Date Aug 14, 2020) | (122KB)

CMC Data Specifications General Information (ctm5010_04) (Revision Date Sep 16, 2020) | (110KB)

Testing and Activation Procedures (ctm5010_05) (Revision Date Sep 16, 2020) | (168KB)

NCPDP Batch Version 1.2 Pharmacy Drug Claims (Section 1.0) (ctm5010 06) (Revision Date Aug 14, 2020) | (66KB)

General Batch Transmission File Formatting (Section 1.1) (ctm5010 07) (Revision Date Aug 14, 2020) | (112KB)

Version D.Ø Transaction Information (Section 1.2) (ctm5010 08) (Revision Date Aug 31, 2020) | (134KB)

Pharmacy Billing – Request (Section 1.2.5) (ctm5010 09) (Revision Date Aug 14, 2020) | (185KB)

Pharmacy Billing – Responses (Section 1.2.6) (ctm5010 10) (Revision Date Aug 14, 2020) | (170KB)

Pharmacy Billing – Response Error Message System (Section 1.2.7) (ctm5010 11) (Revision Date Aug 14, 2020) | (157KB)

CMC Error Codes and Messages (ctm5010 12) (Revision Date Nov 16, 2020) | (135KB)

Recipient ID Check Digit Algorithms (ctm5010 13) (Revision Date Aug 31, 2020) | (230KB)

CMC Submission: Valid Character Input (ctm5010 14) (Revision Date Aug 14, 2020) | (121KB)

Special Billing Instructions: Federally Qualified Health Centers, Rural Health Clinics, and Indian Health Services-Memorandum of Agreement (ctm5010_19) (Revision Date Sep 16, 2020) | (129KB)

CMC Technical Manual Cover (ctm5010 cover) (Revision Date Aug 14, 2020) | (21KB)

Billing Instructions: Acceptable Claims, Attachments and ASC X12N 835 v.5010 Transactions (ctm5010 14a) (Revision Date Aug 31, 2020) | (245KB)

5010 CMC Manuals Current As Of: 12/18/2008

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

5010 CMC BILLING AND TECHNICAL MANUAL

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