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)
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)


