CIMOR Provider Information

Last Reviewed: August 25, 2009
Last Modified: August 25, 2009

 

2010 CIMOR Billing Payment Schedule xls (05/27/09)

2009 CIMOR Billing Payment Schedule xls (04/27/09)

CIMOR Security Roles Summary (10/29/09)

Microsoft Upgrades

Provider Technical Requirements (08/25/09)

 

Batch Provider Documents

Batch Test Steps and Checklist (2/29/08)

Batch Submission Contacts list (2/29/08)

CIMOR Void & Rebill Process (7/31/06)

CPS/ADA/MRDD POS-HIPAA Crosswalk  xls (08/25/09)

Medicaid HIPAA Crosswalk or xls (9/4/07)

ADA Cross Walk (9/4/07)

 

Void/Rebill

Void 837P BMP (8/23/07)

Timeline Void Rebill xls (8/23/07)

Encounter Status Flow (1/16/08)

Examples of Encounters of Void/Rebill (8/23/07)

CIMOR Void & Rebill Process (7/31/06)

 

Business Rules
  

Serious Repeat Offender Rules xls (8/28/06)

ADA Rules xls (8/28/06)

CPS Business Rules (7/01/06)

 

HIPAA Documents

835 Companion Guide (7/12/06)

837 Pro Guide (9/16/08)

DMH HIPAA Transactions Compliance (4/22/04)

 

DMH Result Documents

Claim Confirmation(Revised) xml (8/31/06)

Claim Confirmation Sample xml (8/31/06)

Claim Confirmation xml (8/31/06)

Claim Confirmation Sample   xml (8/31/06)

Remittance Advice Report   xml (8/31/06)

Remittance Advice Report Sample   xml (8/31/06)

Remittance Advice Report Definitions xls (8/31/06)

Conversion Report Information Word doc (8/31/06)

 

DMH Pre-Encounter Transactions

CIMOR Pre-Encounter Transaction Guide (11/20/08)

CIMOR Pre-Encounter 837 835 Transaction Code Set Table xls (1/20/09)

Pre-Encounter Trans Schema xml (12/01/08)

Pre-Encounter Tx-CIMOR Mappings xls (1/20/09)

 

Sample Pre-Encounter Files

Load Sample xml (9/12/06)

Business Rules Rejections xml (4/19/07)

Schema Error xml (9/12/06)

Rules Reject Report xml (9/12/06)

Pre-Encounter Transaction xml (4/19/07)

Batch Pre-Encounter Sample Files (Updated 5/12/06)

CIMOR Pre-Encounter Sample xml (11/08/07)

Prog_Assign_1_Consumer xml (Updated 5/12/06)

Prog_Close_1_Consumer xml (Updated 5/12/06)

Reg_1_Consumer   xml (Updated 4/19/07)

Reg_2_Consumer xml (Updated 4/19/07)

Reg_4_Consumer   xml (Updated 4/19/07)

Reg_and_Eoc_1_Consumer xml (Updated 4/19/07)

SMT_1_Consumer xml (Updated 5/12/06)

Diagnosis_1_Consumer xml (Updated 5/12/06)

Discharge_1_Consumer   xml (Updated 5/12/06)

Est_Eoc_1_Consumer xml (Updated 4/19/07)

Est_Eoc_1_Race xml (Updated 5/12/06)

 

CIMOR Provider Correspondence

ADA Provider Void/Rebill (8/10/07)

CIMOR Pre-Encounter Batch Transaction   (1/26/06)

CPS Letter RE Legacy Bridge & POS Billing   (10/20/05)