CP1
Receipt and Ingestion
CMS-required outcome
The system receives, ingests, and retains claims, claims adjustments, and supporting documentation submitted both electronically and by paper in standard formats.
Default metrics
- Count/percentage of claims received by submission channel (paper vs. electronic).
- Median processing time for ingestion of non-electronic claims/documentation (from receipt to correct ingestion of/association with the associated claims record).
Regulatory sources