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QUESTION: ASCA: How will the Administrative Simplification Compliance Act enforcement review affect me as a “small provider/supplier”? Will I be required to submit claims electronically?

Answer

If providers/suppliers meet the definition of a small provider/supplier, under the ASCA exceptions they are not required to submit claims electronically. It is possible that a small provider/supplier may receive a Request for Documentation letter from National Government Services to establish whether or not they meet the criteria for submission of paper claims. If a small provider/supplier receives a Request for Documentation letter from National Government Services, follow the instructions and complete a Waiver Request form within the timeframe given. National Government Services will then notify providers/suppliers by mail if they can continue to submit paper claims. If a small provider/supplier does not reply to the letter or follow the instructions within the time frame given, their paper claims will be denied.

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Reviewed Date: 10/15/19
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