HCFA AUDIT RULES

Forms must be keyed in all CAPITAL LETTERS.


“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.


Field No
HCFA
COMMON VALUES
RULE
Header/
HSM
Header_HSM
HSM followed by network name
Key what you see. Key the network identification from the network header. Typically, this is included with the network address on the top right of the form.
1
H01_Type
A B C D E F G
A=Medicare   B=Medicaid   C=Champus   D=Champ/VA
E=Group   F=FECA   G=Other
1a
H01a_Insured_ID

Key what you see.



















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