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Medicare Remit Easy PrintUser GuideVersion 4.6January 2018

This software was developed by the Centers for Medicare & Medicaid Services (CMS) for use byMedicare providers/suppliers to view and print a Health Insurance Portability andAccountability Act (HIPAA) compliant Medicare 835. Medicare has no liability and takes noresponsibility for any other use of this software. 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS) under contractHHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System MaintenanceThis document contains confidential and proprietary information, which shall not be used,disclosed, or reproduced without the express written consent of CMS.

Table of ContentsTable of Contents . 1About Medicare Remit Easy Print . 4Informational . 4What’s New . 4Differences between MREP Remittance Advices and Shared System ERAs . 5About This Guide . 6Need Assistance? . 6PC Requirements . 6Operating System Requirements . 7How Does Medicare Remit Easy Print Get Medicare Remittance Info? . 9Information for Administrators . 9Network Installations . 9Pre-Installation Checklist for Installation on a Network .10Installing Medicare Remit Easy Print on a Network .11Before You Install Medicare Remit Easy Print on a Network . 11How to Install Medicare Remit Easy Print on the Network . 11Installing the Medicare Remit Easy Print Group Code on a PC .15How to Install the Medicare Remit Easy Print Group Code . 15How to Know that the Medicare Remit Easy Print Group Code Install Completed Successfully . 15PC Installations .17Getting Started .17Pre-Installation Checklist for Installation on a PC .18Installing Medicare Remit Easy Print .19Before You Install Medicare Remit Easy Print . 19How to Install Medicare Remit Easy Print on Your PC . 19Starting Medicare Remit Easy Print .24Before You Start Medicare Remit Easy Print . 24How to Start Medicare Remit Easy Print . 24Locating MREP and MREP File Locations on Your PC/Network .28Locating the MREP Application on Your PC/Network – Icon Available .28Locating the MREP Application on Your PC/Network – Icon not Available .30Identifying Easy Print File Locations .32Uninstalling Medicare Remit EasyPrint .35Online Help System .37How to Access the Online Help System .37How to Use the Contents Tab . 39How to Use the Index Tab . 41 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidentialand proprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.1

How to Use the Search Tab . 42How to Close the Medicare Remit Easy Print Help Window . 43Importing HIPAA 835 files .44Before You Import the HIPAA 835 File .44Import File Name Format .44How to Import the HIPAA 835 File .45How to Automatically Import the HIPAA 835 File .47What to Do with an Import Error Message .50Import Exception Summary Window/Report .51Working with MREP Remittance Advices .53How to View a List of Claims for an MREP Remittance Advice .53How to View the Detail for a Claim .55How to View the Total Amounts for a Remittance Advice .59How to View the Data in the Import File .61How to View the CARC and RARC Codes .63How to Look up a CARC/RARC Code, Group Code, or CORE Business Scenario .65How to Update (Import) the CARC/RARC Codes, Group Codes, and CORE BusinessScenarios .66How to Print a List of Claims .70How to Print the Detail for a Claim .72How to Print the Remittance Advice Summary .74Searching Payment Information .76How to Search Payment Information. 77Making Sense of the Claim List Tab .81Display Claim(s) . 83Making Sense of the Claim Detail Tab .85Making Sense of the Remit Summary Tab .88Making Sense of the Data View Tab .90Making Sense of the Search Tab .91Making Sense of the Glossary Tab.92Working with Reports .93Making Sense of the Denied Service Lines Report .94Making Sense of the Adjusted Service Lines Report .95Making Sense of the Deductible Service Lines Report .96Making Sense of the Coinsurance Service Lines Report .97Making Sense of the Deductible/Coinsurance Service Lines Report .98Making Sense of the COB Claims Report.99Making Sense of the Non-COB Claims Report .100Making Sense of the MSP Claims Report.101 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidentialand proprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.2

Making Sense of the Non-MSP Claims Report .102Making Sense of the Other Adjustments Report .103Making Sense of the Entire Remittance Report .104How to Print the Denied Service Lines Report .105How to Export the Denied Service Lines Report .109How to Print the Adjusted Service Lines Report .113How to Export the Adjusted Service Lines Report .117How to Print the Deductible Service Lines Report .121How to Export the Deductible Service Lines Report .126How to Print the Coinsurance Service Lines Report .131How to Export the Coinsurance Service Lines Report .137How to Print the Deductible/Coinsurance Service Lines Report .142How to Export the Deductible/Coinsurance Service Lines Report .147How to Print the COB Claims Report.152How to Export the COB Claims Report .157How to Print the Non-COB Claims Report .161How to Export the Non-COB Claims Report .166How to Print the MSP Claims Report.171How to Export the MSP Claims Report .177How to Print the Non-MSP Claims Report .182How to Export the Non-MSP Claims Report .187How to Print the Other Adjustments Report .192How to Export the Other Adjustments Report .196How to Print the Entire Remittance Report .200Housekeeping for the Import Files .203Archiving Import Files .203How to Archive Import files . 203Restoring Import files .206How to Restore Import files .206Deleting Import files .207How to Delete an Import file . 207Using Keystroke Shortcuts .210Appendix A: MREP RA/HIPAA 835v5010 Segment Field Crosswalk .213Appendix B: Abbreviation and Acronym Glossary.221 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidentialand proprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.3

Medicare Remit Easy PrintAbout Medicare Remit Easy PrintAbout Medicare Remit Easy PrintMedicare Remit Easy Print enables you to print Medicare Part B and DME MAC HIPAA835v5010 files in a format that is similar to the Electronic Remittance Advice (ERAs).Youcan use Medicare Remit Easy Print to: view MREP Remittance Advices (see page 53) search MREP Remittance Advices (see page 77) print MREP Remittance Advices (see page 200) print reports about MREP Remittance Advices (see page 105)You can install Medicare Remit Easy Print on a PC or on a network (see Pre-InstallationChecklist for Installation on a PC).For general information about remittances, see nal MREP accepts remittances in the X12 835V5010A1 and X12 835V4010A1 formats. MREP no longeraccepts remittances in the X12 835V5010 format. Since the X12 835V5010 format was only usedduring the transition period from X12 835V4010A1 and was never used in production, the user guiderefers to the X12 835V5010A1 format as X12 835V5010. MREP Version 4.6 includes the CARC and RARC lists published by the WPC (WashingtonPublishing Company) as of 7/3/2017 and Code Combination Business Scenarios published by theCAQH/CORE in October 2017 (spreadsheet v.3.4.1). Future lists will be made available individuallyand can be imported into MREP to keep the codes current. For more information, see How to View theCARC and RARC Codes.What’s New As CMS moves from using HICNs for patient identification to using Medicare BeneficiaryIdentification (MBI) numbers, MREP screens and reports are being updated, changing headersand labels from HICN or HIC to MID (Medicare Identification number). The MID field couldbe populated with a HICN or an MBI. The primary MID will be populated with theSubmitted ID (2100 NM109 value when 2100 NM101 QC). If an alternate MID istransmitted in the 835 Corrected Patient ID Segment (2100 NM109 value when 2100 NM101 74), it appears on the remittance below the primary MID. A MID can be a HICN or a MBI.Note: When viewing historical 4010A1 remittances, a Corrected Patient ID will continue toreplace the Submitted Patient ID. 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.4

Medicare Remit Easy PrintDifferences between MREP Remittance Advices andShared System ERAsDifferences between MREP Remittance Advices and SharedSystem ERAsIt is important to understand that the Medicare Remit Easy Print Remittance Advice is a representation of theHIPAA 835v4010A1 or the HIPAA 835v5010 transaction data. Although CMS attempted to make theMedicare Remit Easy Print generated Remittance Advice very similar to the Shared System Maintainergenerated SPR (received by mail), the printed information and data content at times may differ. So, the two canbe compared as long as there is an understanding of why they differ.For example, the HIPAA 835v5010 transaction data contains reversal (mother) claim information and, in turn,the Medicare Remit Easy Print Remittance Advice displays this information and uses it in the calculation ofthe entire remittance total. The CMS systems that create the file for the SPR received by mail have the abilityto net the claim information for adjustments prior to generating the SPR. The HIPAA 5010 transaction has nofacility to convey the information to allow MREP to net the claim information for adjustments prior togenerating the Medicare Remit Easy Print Remittance Advice and, therefore, must do a complete back-out ofthe original claim and build a new adjusted claim with the modified information.ItemAdjustmentsMedicare Remit Easy PrintShared SystemYou must calculate the net.The net was calculated for you.Claim Example #1Original ClaimProvider PaidAdjustment ClaimProvider PaidProvider Paid000000000001000 100.00000000000001001 80.00 20.00 (overpayment)Claim Example #1Adjustment ClaimProvider Paid000000000001001 20.00Claim Example #2Adjustment ClaimProvider Paid000000000002001 50.00Claim Example #2Original ClaimProvider PaidAdjustment ClaimProvider PaidProvider Paid000000000002000 100.00000000000002001 150.00 50.00 (underpayment)PREV PDAlways blankCalculated for youGeneral Messagesfor Suppliers/Providers (ProviderBulletin Board)Not shownShown 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.5

Medicare Remit Easy PrintAbout This GuideAbout This GuideAll personal health information has been replaced with fictitious information.To use this guide, you need to have a working knowledge of Microsoft Windows.For example, you need to know how to: access your desktop, use the Start menu, and use Microsoft Windows Explorer.You also need to know common Microsoft Windows terminology. For example, Start Programs refers to the Programs option on the Start menu.Need Assistance?If you need assistance, please contact:EmailPhoneYour Medicare contractorYour Medicare contractorPC RequirementsRecommended Speed:RAM (Random Access Memory)Hard Disk SpaceDisplay2.0 gigahertz (GHz) or faster256 megabytes (Mb) or above1 gigabyte (GB)1024x768 High Color (16-bit) 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.6

Medicare Remit Easy PrintOperating System RequirementsOperating System RequirementsRecommended:Windows 7.NET Framework:2.0 SP2This application uses Visual Basic.Net, a Microsoft compatible language and,like many applications that require an MS Windows platform, MREP requiresa .NET framework. More than likely one or more.NET frameworks were preinstalled on your Windows operating system or Windows Update downloadeda newer version on your PC. You must have .NET framework version 2.0 SP2on each PC using the MREP Application.Note:.NET frameworks 3.0, 3.5, and 4.0 include the 2.0 SP2 framework soif one of these frameworks is present, .NET 2.0 SP2 does not needto be installed separately. Windows 8 users may need to install orenable the .NET 3.5 framework 3.5 on each PC that uses MREP.If you do not have the necessary framework installed, you may receive amessage stating that this version of the framework is required during theinstallation process and prompting you to install it.By clicking Yes—and if you have access to the Internet—you are redirectedto the Microsoft web site to download the .NET framework 2.0 SP. DownloadNetFx20SP2 x86.exe for 32-bit systems or NetFx20SP2 64.exe for 64-bitsystems. We do not recommend that you download a beta version of the.NET framework if you are presented with this option on the Microsoft website.Outside of the application installation process, you may also visit the link toMicrosoft .NET Framework Version 2.0 Service Pack 2 at the Microsoftwebsite to transport directly to the location on the Microsoft web site todownload the 2.0 SP2 .NET framework version.If you want to learn more about the 2.0 SP2 .NET Framework version and/ordetermine if you need to install this version, you may visit.Net Framework Developer Center at the Microsoft website.Please follow the directions within the web site when using this link.If you do not have access to the Internet and you receive a message toupdate your .NET framework, you have to obtain a copy of the .NETframework from Microsoft. The Medicare Remit Easy Print application doesnot work without the appropriate .NET framework installed on each machineaccessing the application. 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.7

Medicare Remit Easy PrintOperating System RequirementsDecompression Application: To download the Medicare Remit EasyPrint program from your Medicare contractor’s web site, you must have thefollowing: Access to the Internet. 7-Zip, WinZip, or a compatible decompression application to extract files. Ifyou do not have a decompression application, you can go to a number of websites to acquire one (For example: http://www.winzip.com/downwzeval.htm). 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.8

Medicare Remit Easy PrintHow Does Medicare Remit Easy Print Get MedicareRemittance Info?How Does Medicare Remit Easy Print Get MedicareRemittance Info?You have to import Medicare remittance information into Medicare Remit Easy Print. Formore information about importing, see Importing HIPAA 835 files.The files that you import are the ANSI files. For more information about the format of thesefiles, see Appendix A: MREP RA/HIPAA 835v5010 Segment Field Crosswalk.When Medicare Remit Easy Print reformats and saves a copy of an HIPAA 835 file, it iscalled the Import file. For information about how EasyPrint names the Import files, see ImportFile Name Format.Medicare Remit Easy Print keeps all of the Import files in the Import folder in the MedicareRemit EasyPrint directory.Information for AdministratorsMedicare Remit Easy Print can be installed on a PC or network.To install MREP: on a PC, see PC Installations on a network, see Installing Medicare Remit Easy Print on a NetworkNetwork InstallationsMedicare Remit Easy Print DirectoryThere must be sufficient space on the network to save the Import file(s).The Medicare Remit Easy Print software takes about 4000 KB.Users must have Read/Write access to the directory where the software is installed because thesoftware creates files and saves them using the user’s security privileges to the directory.Medicare Remit Easy Print AccessIf you need to make Medicare Remit Easy Print available to all users who log on, indicate thisduring the installation procedure.Group Code MSI fileWhen installing the application on a network, each PC that accesses the application must haveinstalled the Group Code MSI file. 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.9

Medicare Remit Easy PrintNetwork InstallationsPre-Installation Checklist for Installation on a NetworkBefore you install Medicare Remit Easy Print, you need to complete these steps:StepDescriptionCompleted 1Check that the network, all PCs, and printers meet all requirements.No data2Find out where to save the Medicare Remit Easy Print installation softwareon your C:\ drive or Desktop.The file name is: Medicare Remit Easy Print.msiWrite the location here:No data3Find out where to save the Medicare Remit Easy Print Group Code .msi fileon your C:\ drive or Desktop:The file name is: GroupCode.msiWrite the location here:Note: The GroupCode.msi must be installed on all PCs executingEasyPrint from a network location or any PCs that access networklocations from within the application.When installed on a network drive, only the EasyPrint shortcut andthe GroupCode.msi package need to be installed on PCs executingthe application. There is no need to install the application on eachindividual PC.To ensure each client PC can access the application: from the clientPC, navigate to the network location where Medicare Remit EasyPrint is installed, right click on the EasyPrint.exe file, and select“create shortcut”. This shortcut can then be copied to the desktop ofthe client PC. This step is necessary in the event the network drivemapping is different on the client PC.No data4Create a folder called HIPAA 835 files and make sure that all users know thelocation.This folder must have adequate security for PHI.Write the location for the HIPAA 835 files here:No data5Create a directory on the server for the Medicare Remit Easy Printinstallation.This directory must have adequate security for PHI.No data 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.10

Medicare Remit Easy PrintNetwork InstallationsInstalling Medicare Remit Easy Print on a NetworkWhen you install Medicare Remit Easy Print on a network: install Medicare Remit Easy Print on the network install the Medicare Remit Easy Print Group Code on every PC accessing theapplicationBefore You Install Medicare Remit Easy Print on a NetworkBefore you install Medicare Remit Easy Print: complete the Pre-Installation Checklist for Installation on a NetworkHow to Install Medicare Remit Easy Print on the NetworkImportant!If this download cannot get past your network firewall, please contact your Medicare contractor.Download InstructionsFrom the CMS website: cation/MedicareRemitEasyPrint.html:1. Select the Medicare Remit Easy Print link.2. Click the Medicare Remit Easy Print zip file. Depending on your browser, the file saves toyour Downloads folder or you can save the file to the location you noted on the PreInstallation Checklist for Installation on a Network.3. Double click the .zip file. 2018 Sponsored by the Centers for Medicare & Medicaid Services (CMS)under contract HHSN-316-2012-00023W / HHSM-500-2016-00005U – DME Shared System Maintenance. This document contains confidential andproprietary information, which shall not be used, disclosed, or reproduced without the express written consent of CMS.11

Medicare Remit Easy PrintNetwork Installations.Installation Instructions1. Make sure you know the location of the Medicare Remit Easy Print.msi file (Step 2 of thePre-Installation Checklist for Installation on a Network.)2. Open Microsoft Windows Explorer and find the Medicare Remit Easy Print.msi file.3. Double-click the Medicare Remit Easy Print.

This software was developed by the Centers for Medicare & Medicaid Services (CMS) for use by Medicare providers/suppliers to view and print a Health Insurance Portability and Accountability Act (HIPAA) compliant Medicare 835. Medicare has no liability and takes no responsibility for any other use of this software.