2023 Medicare and Marketplace Interim Claim Requirement

Date: 09/29/23

Medicare and Marketplace inpatient and outpatient claims for dates of service 11/1/2023 and after will be edited prior to payment to confirm discharge status 30 (still a patient) is present on claims with bill types ending in XX2 (first interim claim) and XX3 (continuing claim).

This edit is being implemented to process claims in accordance with Medicare standards outlined in the Medicare Claims Processing Manual Chapter 1 General Billing Requirements Section 50.2.3 Submitting Bills in Sequence for a Continuous Inpatient Stay or Course of Treatment

Medicare Claims Processing Manual

If you have question, please contact your AzCH Provider Engagement Specialist. If you need your assigned Provider Engagement Specialist’s contact information, please email us at AzCHProviderEngagement@azcompletehealth.com.