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Implementation of the PWK (Paperwork) Segment for X12N Version 5010: update

The effective and implementation dates have been changed from April 1, 2011 to July 1, 2011. In addition, the CR transmittal number, release date, and the Web address for accessing CR 7041 were revised. All other information is the same.

This article is based on Change Request (CR) 7041 which announces the implementation of the PWK (paperwork) segment for X12N Version 5010.

The PWK is a segment within the 837 Professional and Institutional electronic transactions. The PWK segment provides the "linkage" between electronic claims and additional documentation which is needed for claims adjudication. Although the PWK segment allows for an electronic submission of the additional documentation, this preliminary implementation will only allow for submission of additional documentation via mail and fax.

Medicare contractors will be responsible for imaging, storage, and retrieval of the additional documentation for their claims examiners. Having the documentation available to claims examiners eliminates the need for costly automated development.


INDUSTRY NEWS TAGS: CMS


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