Program_Memos / 2002 / AB-02-142

Why This Topic Matters

It documents changes that affect how remittance advice communicates claim adjustments and identifies when contractors needed to implement updated code sets. The memorandum also addresses coordination between CMS guidance, shared system updates, and provider notification.

Article Sections

1. Program Memorandum and Remittance Advice Coding Update

   Introduces the memorandum, its CMS origin, transmittal details, date, subject, and overall purpose. It also explains the general scope of the remittance advice coding update.

2. X12N 835 Health Care Remittance Advice Remark Codes

   Describes the remark code maintenance process, update timing, and implementation expectations for Medicare-related remittance advice. It includes newly added and modified remark code groupings and broader administrative guidance.

3. X12 N 835 Health Care Claim Adjustment Reason Codes

   Summarizes the reason code maintenance process and update cycle for Medicare remittance advice. It presents new and modified reason code groupings and related maintenance guidance.

4. Implementation of Reason and Remark Codes

   Provides general implementation and coordination guidance for contractors and shared system maintainers. It addresses crosswalks, effective dates, provider notification, and use of current code sets.

5. Administrative Closing Information

   Notes the effective and implementation dates for the memorandum, discard timing, and contact information. This section contains closing administrative details only.