Notice of Cancellation TOB 8XD Billing Job Aid

Although rare, there are times when a Notice of Election (NOE) or Change of Provider/Transfer Notice must be canceled. A Notice of Cancellation, Type of Bill (TOB) 8XD, is submitted when one of the following situations occurs:

• When a hospice election is established out of order, the NOE must be canceled
   
• For example, the patient was with Hospice ABC from June through July. In October, the patient elects the hospice beneft with Hospice XYZ. Hospice XYZ checks the Common Working File (CWF) and does not see a previous election. Therefore, they submit their hospice NOE for the admission in October. Later that month, Hospice ABC contacts Hospice XYZ to cancel their NOE so that Hospice ABC can submit their NOE and claims for the June through July services.
   
• When the beneficiary will not be receiving services from the hospice, but the NOE has already been submitted and posted to the CWF
   
• When a Change of Provider/Transfer Notice (TOB 8XC) needs to be canceled

Please select the  Notice of Cancellation (TOB 8XD) Billing Job Aid (PDF) to view the updated job aid.