Supplemental Benefit Services Submission Guidance


Medicare Advantage (MA) Supplemental Services Guidance provides information that assists with the submission of supplemental benefit services for Encounter Data that complies with Centers for Medicare & Medicaid Services (CMS) requirements. The purpose of the General Supplemental Services Submission Guide is to provide MA organizations with instructions specific to populating and submitting encounter data records for medical supplemental benefit services. The purpose of the Supplemental Dental Services Submission Guide is to provide MA organizations with instructions specific to populating and submitting encounter data records for supplemental dental benefit services. Additionally, the MA Dental 999 Edit Spreadsheet can be utilized to address 999 rejections received on MA Dental file submissions.

Medicare Advantage General Supplemental Services Submission Guide

Appendix B Supplemental Benefit Services Category Codes

Appendix C Supplemental Benefits Minimum Data Elements and Default Data

Medicare Advantage Supplemental Dental Services Submission Guide

Dental Validation Report Layout

MA Dental 999 Edit Spreadsheet