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Change Request 5766 - cms

Change Request 5766 - cms-2025

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The document outlines modifications to the Coordination of Benefits Agreement (COBA) Common Working File (CWF) logic as per Change Request 5766 issued by the Centers for Medicare & Medicaid Services (CMS). Effective April 1, 2008, these changes include the introduction of a new crossover disposition indicator for excluding adjustment claims based on updated selection criteria. The document details the systematic logic adjustments required for processing claims, including exclusions for monetary and non-monetary adjustments, and specifies that no additional funding will be provided for implementation.

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