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CSSC Operations / Medicare Medicaid Plans / FAQs / If rejecting the last Medicare...

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CSSC Operations
/ Medicare Medicaid Plans / FAQs
If rejecting the last Medicare encounter for the subscriber, would all loops/segments pertaining to the encounter be rejected and therefore deleted from the file sent to the State, starting with 2300:CLM up to the next HL (next subscriber or billing provider)?

Answer:

Yes