100-04 Medicare Claims Processing Manual: Chapter 26 Crosswalk

Medicare Claims Processing Manual
Chapter 26 - - Completing and Processing Form CMS-1500 Data Set
Crosswalk
New
Chapter
New
Section
Int.
Pub 13-3
Carrier
Pub 14-3 	Other
Program
Memo 	Description
26 	10 	B3-3002,
B3-4020,
B4-2010,
B3-3005.1.B,
B3-3005.4
Health Insurance Claim Form CMS-1500
26 	10.1 	Returning a Claim as Unprocessable
26 	10.2 	B3-3005.2
B3-3005.4
B3-4020.1
B4-2010.1
TR-1712 	Items 1 - 11 - Patient and Insured Information
26 	10.3 	B3-3005.2,
B3-3005.4,
B3-4020.1,
B4-2010.1
Items 11a - 13 - Patient and Insured Information
26 	10.4 	B3-3005.4,
B3-4020.2,
B4-2010.2,
TR-1712,
TR-1718
B-03-045, AB-
03-091, -B-00-
15, B-98-28,
Items 14-33 - Provider of Service or Supplier Information
26 	10.5 	B4-2010.3, 	PM-98-28,
B-02-55
B-03-040
Place of Service Codes (POS) and Definitions

New
Chapter
New
Section
Int.
Pub 13-3
Carrier
Pub 14-3 	Other
Program
Memo 	Description
26 	10.6 	B3-4020.3, 	Carrier Instructions for Place of Service (POS) Codes
26 	10.7 	B3-4020.4 	TR-1783 	B-03-030 	Type of Service (TOS)
26 	10.8 	B3 -2207 	Requirements for Specialty Codes
26 	10.8.1 	Assigning Specialty Codes by Carriers and DMERCs
26 	10.8.2 	Physician Specialty Codes
26 	10.8.3 	B3-2207.1 	Nonphysician Practitioner, Supplier, and Provider Specialty
Codes
26 	10.9 	B3-3002 	Obtaining Copies of the Form CMS-1500
26 	20 	B3-3005.3,
B3-3999
Form CMS-1500 - Data Element Matrix
26 	30 	B3-3002,
B3-4020,
B4-2010,
B3-3002,
B3-3003,
B3-3042,
B3-7563
Paper Claims
26 	Exh 1 	AB-02-132 	Instructions for the Retrieval of the Current HCPCS via
CMS’s Mainframe Telecommunications System (Formerly
Network Data Mover)