Submit Pre-claim Review (PCR) Submissions via EDI Batch Process

Home health (HH) providers participating in the Review Choice Demonstration (RCD) and who have selected Pre-claim Review (PCR) as their review choice can submit PCR claims using an EDI Batch submission process. A signed EDI agreement for HH providers and billing agencies/ vendors must be on file prior to submitting PCR submissions via EDI Batch Process. Below are links to XML Format and Specifications documents to assist with PCR batch submission.

EDI_PCR_Error_message_grid (PDF)

EDI_PCR_Submission_Specifications (PDF)