Formats for Submitting Claims to Medicare - Electronic Submission Requirements

by  Find-A-Code
July 20th, 2015

(Rev. 3086, Issued: 10-03-14, Effective: ICD-10: Upon Implementation of ICD-10, ASC X12: January 1, 2012, Implementation ICD-10: Upon Implementation of ICD- 10; ASC X12: November 4, 2014)

The Administrative Simplification Compliance Act (ASCA) requires that claims be submitted to Medicare electronically unless certain exceptions are met. In addition, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that the Secretary of Health and Human Services adopt standards for conducting certain health care transactions electronically, among them claims and remittance advices. Therefore, claims sent to Medicare must be sent on HIPAA-standard health care claim transactions unless certain exceptions are met.


Formats for Submitting Claims to Medicare - Electronic Submission Requirements. (2015, July 20). Find-A-Code Articles. Retrieved from

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