Nicholas Pension Consultants
Compensation Strategies Group, Ltd.
Nova 401(k) Associates
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|Text of CMS EDGE Server Business Rules, v. 5.0 (PDF)|
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
Dec. 29, 2015
98 pages, dated December 2015. "This document provides guidance to issuers on the business rules that CMS applies to enrollment, pharmacy, medical claims and supplemental diagnoses code files submitted to an issuers EDGE server.... The ESBR document provides file processing business rules based on five categories (general rules, enrollment, pharmacy claims, medical claims and supplemental diagnosis files)."
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