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Carriers Manual
Part 3
Claims Process



Manual Transmittals through Transmittal Number 1820, dated September 26, 2003, are included in this update. As new transmittals are included they will be identified on this page. Two other sites may have more recent information. Program Transmittals and Program Memoranda may include documents that reflect current policies not yet incorporated into this manual.

Chapter I Entitlement and Enrollment
Chapter II Coverage and Limitations
Chapter III Claims Filing, Jurisdiction, and Development Procedures
Chapter IV Claims Review and Adjudication Procedures
Chapter V Reasonable Charges
Chapter VI Part B CWF Claims Processing
Chapter VII Payment and Postpayment Procedures
Chapter VIII Reimbursement
Chapter IX Carrier Relationships
Chapter X Disclosure of Information
Chapter XI There is no chapter XI
Chapter XII Appeals Process
Chapter XIII Reports and Statistics
Chapter XIV Fraud and Abuse
Chapter XV Fee Schedule for Physician's Services
Chapter XVI Nonphysician Practitioner Services
Chapter XVII Participation Program and Billing Limitations
Abbreviations Carriers Manual Abbreviations

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Last Modified on Thursday, September 16, 2004