How will backlogged data be submitted?
A10. First Report data will be reported with the most current and best information on a single transaction using an Original (00) Maintenance Type Code. Subsequent Report data will be reported using the Upon Request (UR) Maintenance Type Code. Each benefit type paid will be reported on a single UR transaction including the starting and ending date of benefits and the cumulative amount paid.
First report data will be reported with the most current and best information on a single transaction using an original (00) maintenance type code. Subsequent report data will be reported using the upon request (UR) maintenance type code. Each benefit type paid will be reported on a single UR transaction including the starting and ending date of benefits and the cumulative amount paid. For more detailed information, see eNews #32, 04-17-03, “The upon request (UR) option now available.” The only change to this process is that the IP should be sent before the UR.
