Program_Memos / 2000 / B-00-13

Why This Topic Matters

The memorandum helps organizations maintain consistency between Medicare remittance data, paper remittance mapping, and claims-format records. It is important for teams responsible for EDI system maintenance, remittance balancing, and ensuring updated reference material is reflected in operational workflows.

Article Sections

1. Program Memorandum Overview

   Introduces the memorandum, its purpose, effective timing, and the overall scope of the NSF and remittance-related updates.

2. NSF/ERA

   Summarizes updates to NSF ERA documentation, including clarifications to amount-field calculations, balancing-related remarks, and field-level revisions across the format.

3. Changes by Field Number

   Lists field-specific updates and corrections for the NSF ERA record set, including requirement changes, remark updates, and calculation clarifications.

4. Update to the NSF 2.01 to 835 Version 3051.4B Mapping

   Describes revisions to the mapping between NSF 2.01 and the 835 transaction standard.

5. Update of the Standard Paper Remittance to NSF 2.01 Map

   Summarizes corresponding changes to the paper remittance-to-NSF mapping and revised field references.

6. NSF/Claims

   Covers clarifications and small updates to NSF claims records, including coordination-of-benefits and ambulance certification items.

7. Attachment 1

   Provides a detailed NSF 2.01 to 835 mapping table for affected record fields.

8. Attachment 2

   Provides the standard paper remittance to NSF 2.01 mapping table and related field-length notes.

9. Attachment 3

   Presents a claims-record reference page for a coordination-of-benefits data element and its remarks update.

10. Attachment 4

    Presents an ambulance certification record reference page and its updated code values.