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

The Medi-Cal Computer Media Claims (CMC) Billing and Technical Manual supplies record layouts and data specifications for developing Medi-Cal electronic billing software. CMC submitters should refer to the appropriate provider manual for up-to-date billing instructions, Medi-Cal policy requirements and detailed CMC enrollment information.

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, 2021) |137KB)
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 Nov 16, 2021) |271KB)


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