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Carrier File - Center For Medicare & Medicaid Innovation - Innovations Cms
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Each beneficiary across all claim files. SHORT NAME: DSYSRTKY LONG NAME: DESY SORT KEY LDS Claim Number NUM 12 The unique number used to identify a unique claim. SAS ALIAS: CLAIM NO STANDARD ALIAS: CLAIM NO NCH Near Line Record Identification Code CHAR 1 A code defining the type of claim record being processed. SHORT NAME: RIC CD LONG NAME: NCH NEAR LINE REC IDENT CD CODES: NCH Near-Line Record Identification Code Table ---------------------------------------------O Part B physician/sup.
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ICD-9-CM FAQ
The CWF is comprised of nine localized databases called Hosts. Hosts maintain total Medicare claim history and entitlement information for the beneficiaries in their jurisdiction as updated daily by Medicare contractors and other applicable entities (i.e., Social Security Administration).
The Centers for Medicare & Medicaid Services (CMS) is part of the U.S. Department of Health and Human Services (HHS) and is not the same as Medicare. Medicare is a federally run government health insurance program, which is administered by CMS.
The Carrier claims file was originally called the Physician/Supplier Part B file. This file contains final action claims data submitted by non-institutional providers. Each record in the Carrier claims file is a claim.
The Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace.
Carriers are private insurance companies acting under contract with the Health Care Financing Administration (HCFA) to processclaims by beneficiaries and providers for services or supplies covered under Medicare Part B. While most Stateshave jurisdiction for one State, a few carriers handle more than one State.
The Center for Medicare and Medicaid Innovation (CMMI), also known as the “Innovation Center,” was authorized under the Affordable Care Act (ACA) and tasked with designing, implementing, and testing new health care payment models to address growing concerns about rising costs, quality of care, and inefficient spending.
Carrier means an entity that has a contract with CMS to determine and make Medicare payments for Part B benefits payable on a charge basis and to perform other related functions.
The Center for Medicare and Medicaid Innovation, also known as the CMS Innovation Center, develops and tests new healthcare payment and service delivery models to: Improve patient care. Lower costs. Better align payment systems to promote patient-centered practices.
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