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Fractional Mileage on Ambulance Claims

Beginning with service dates on and after January 1, 2011, the Centers for Medicare & Medicaid Services (CMS) requires that electronic claims for ambulance services report mileage to the nearest tenth of a mile when the trip is less than 100 miles.

 

Wellmark can process claims using whole numbers only.

 

Ambulance claims reported with a fraction of a mile that we receive for Wellmark or MedicareBlueSM PPO members will be rounded up to the nearest whole number.

 


 

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