High Volume of Paper Claims

MACs send letters to providers that submit a high number of paper claims in the previous quarter.

After payment, MACs verify that providers meet the exception criteria to continue submitting paper claims. Providers submit an ASCA waiver request to their MAC.

Find your MAC’s website to locate the ASCA waiver. You can fax or mail the waiver to your MAC. If your MAC approves the request, it will send the request to CMS recommending ASCA waiver approval.

Notifies you by mail if it approved your exception and you may submit paper claims.
OR
Notifies you that it didn’t approve your exception, and it will deny all paper claims starting 91 calendar days after the date of the first letter requesting documentation. You can’t appeal these decisions.

Your MAC denies paper claims starting 91 calendar days after the first letter date asking for documentation. You can’t appeal these decisions.

If you submit justification to the MAC for an exception to submit paper claims, your MAC either:

If you don't respond to a request for exception information:

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