J-01AA Base Reports PSCs ZPICs Need.xlsx

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DME MAC Jurisdiction A
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RFP-CMS-2010-0004
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J-01AA Base Reports PSCs ZPICs Need

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Amendment 000002 JA.docx DOCX document
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Base Reports for PSCs-ZPICs

BASE REPORTS PSCs/ZPICs NEED AS OF 6/1/09
REPORTS NEEDED FROM VMS
Report NameReport NumberPrint DSN
Aged Claims Report160&DNODE..CLR.S050.PR00000
Aged Claims Report160&DNODE..CLR.S050.PR00001
Alert Codes By AlertNS1002&DNODE..ALT.S050.SORTOUT
Alert Codes By NSCNS1001&DNODE..ALT.S040.SORTOUT
Alert Transmission ReportXW40003&DNODE..XWR.S150.SORTOUT
Appeals Activity Report323&DNODE..IJR.S110.PR13323
Automated Claims Examination Utilization Ranges061&DNODE..JRW.S035.EXCP6PR0
Automated Claims Examination Utilization Ranges061&DNODE..JRW.S035.EXCP6PR9
Automated Claims Examination Utilization Ranges061&DNODE..JRW.S035.EXCPRPT6
Automated Claims Examination Utilization Ranges061&DNODE..MGR.S010.PRTIDAHO
Automated Claims Examination Utilization Ranges061&DNODE..MGR.S010.PRTSUMRY
Automated Claims Examination Utilization Ranges061&DNODE..RWP.S015.PR00000
Automated Claims Examination Utilization Ranges061&DNODE..RWP.S015.PR00001
Automated Claims Examination Utilization Ranges061&DNODE..RWP.S015.PR99999
Automated Claims Examination Utilization Ranges061&DNODE..RWP.S035.PR00000
Automated Claims Examination Utilization Ranges061&DNODE..RWP.S035.PR00001
Automated Claims Examination Utilization Ranges061&DNODE..RWP.S035.PR99999
Backup Withholding Audit ReportFR41002&DNODE..ARR.S200.P141001
Backup Withholding Audit ReportFR41002&DNODE..ARR.S200.P141002
Claim Audit Report301&DNODE..IRT.S080.SORTOUT
Claims Error Totals ReportET001&DNODE..ETP.S050.ET00111
Closed Cases Report (Monthly)322&DNODE..IJR.S110.PR11322
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..JRW.S035.EXCP6PR0
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..JRW.S035.EXCP6PR9
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..JRW.S035.EXCPRPT6
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..MGR.S010.PRTIDAHO
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..MGR.S010.PRTSUMRY
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..RWP.S015.PR00000
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..RWP.S015.PR00001
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..RWP.S015.PR99999
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..RWP.S035.PR00000
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..RWP.S035.PR00001
Cumulative History Exceptions -
Accumulation File Number Totals & Summary390&DNODE..RWP.S035.PR99999
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..JRW.S035.EXCP6PR0
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..JRW.S035.EXCP6PR9
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..JRW.S035.EXCPRPT6
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..MGR.S010.PRTIDAHO
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..MGR.S010.PRTSUMRY
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..RWP.S015.PR00000
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..RWP.S015.PR00001
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..RWP.S015.PR99999
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..RWP.S035.PR00000
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..RWP.S035.PR00001
Cumulative History Exceptions -
Review Utilization Line Edit Totals & Summary392&DNODE..RWP.S035.PR99999
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..JRW.S035.EXCP6PR0
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..JRW.S035.EXCP6PR9
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..JRW.S035.EXCPRPT6
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..MGR.S010.PRTIDAHO
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..MGR.S010.PRTSUMRY
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..RWP.S015.PR00000
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..RWP.S015.PR00001
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..RWP.S015.PR99999
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..RWP.S035.PR00000
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..RWP.S035.PR00001
Cumulative History Exceptions -
Screen Totals & Screen Summary394&DNODE..RWP.S035.PR99999
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..JRW.S035.EXCP6PR0
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..JRW.S035.EXCP6PR9
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..JRW.S035.EXCPRPT6
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..MGR.S010.PRTIDAHO
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..MGR.S010.PRTSUMRY
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..RWP.S015.PR00000
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..RWP.S015.PR00001
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..RWP.S015.PR99999
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..RWP.S035.PR00000
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..RWP.S035.PR00001
Cumulative History Exceptions
Accumulation File Number Detail391&DNODE..RWP.S035.PR99999
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..JRW.S035.EXCP6PR0
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..JRW.S035.EXCP6PR9
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..JRW.S035.EXCPRPT6
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..MGR.S010.PRTIDAHO
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..MGR.S010.PRTSUMRY
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..RWP.S015.PR00000
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..RWP.S015.PR00001
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..RWP.S015.PR99999
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..RWP.S035.PR00000
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..RWP.S035.PR00001
Cumulative History Exceptions
Review Utilization Line Edit Details393&DNODE..RWP.S035.PR99999
Cumulative History Exceptions
Screen Detail395&DNODE..JRW.S035.EXCP6PR0
Cumulative History Exceptions
Screen Detail395&DNODE..JRW.S035.EXCP6PR9
Cumulative History Exceptions
Screen Detail395&DNODE..JRW.S035.EXCPRPT6
Cumulative History Exceptions
Screen Detail395&DNODE..MGR.S010.PRTIDAHO
Cumulative History Exceptions
Screen Detail395&DNODE..MGR.S010.PRTSUMRY
Cumulative History Exceptions
Screen Detail395&DNODE..RWP.S015.PR00000
Cumulative History Exceptions
Screen Detail395&DNODE..RWP.S015.PR00001
Cumulative History Exceptions
Screen Detail395&DNODE..RWP.S015.PR99999
Cumulative History Exceptions
Screen Detail395&DNODE..RWP.S035.PR00000
Cumulative History Exceptions
Screen Detail395&DNODE..RWP.S035.PR00001
Cumulative History Exceptions
Screen Detail395&DNODE..RWP.S035.PR99999
Daily Closed Report302&DNODE..IJR.S110.PR11302
Daily Closed Report - JB report file302&DNODE..IJR.S110.PR12302
Daily History Exceptions - Accumulation File Number Summary380&DNODE..JRW.S010.OTHERRPT
Daily History Exceptions - Accumulation File Number Totals380&DNODE..JRW.S010.OTHERRPT
Daily History Exceptions
Accumulation File Number381&DNODE..JRW.S035.EXCP6PR0
Daily History Exceptions
Accumulation File Number381&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Accumulation File Number381&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Accumulation File Number381&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Accumulation File Number381&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Accumulation File Number381&DNODE..RWP.S015.PR00000
Daily History Exceptions
Accumulation File Number381&DNODE..RWP.S015.PR00001
Daily History Exceptions
Accumulation File Number381&DNODE..RWP.S015.PR99999
Daily History Exceptions
Accumulation File Number381&DNODE..RWP.S035.PR00000
Daily History Exceptions
Accumulation File Number381&DNODE..RWP.S035.PR00001
Daily History Exceptions
Accumulation File Number381&DNODE..RWP.S035.PR99999
Daily History Exceptions
Accumulation File Number Summary380&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Accumulation File Number Summary380&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Accumulation File Number Summary380&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Accumulation File Number Summary380&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Accumulation File Number Summary380&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Accumulation File Number Summary380&DNODE..RWP.S015.PR00000
Daily History Exceptions
Accumulation File Number Summary380&DNODE..RWP.S015.PR00001
Daily History Exceptions
Accumulation File Number Summary380&DNODE..RWP.S015.PR99999
Daily History Exceptions
Accumulation File Number Summary380&DNODE..RWP.S035.PR00000
Daily History Exceptions
Accumulation File Number Summary380&DNODE..RWP.S035.PR00001
Daily History Exceptions
Accumulation File Number Summary380&DNODE..RWP.S035.PR99999
Daily History Exceptions
Accumulation File Number Totals380&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Accumulation File Number Totals380&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Accumulation File Number Totals380&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Accumulation File Number Totals380&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Accumulation File Number Totals380&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Accumulation File Number Totals380&DNODE..RWP.S015.PR00000
Daily History Exceptions
Accumulation File Number Totals380&DNODE..RWP.S015.PR00001
Daily History Exceptions
Accumulation File Number Totals380&DNODE..RWP.S015.PR99999
Daily History Exceptions
Accumulation File Number Totals380&DNODE..RWP.S035.PR00000
Daily History Exceptions
Accumulation File Number Totals380&DNODE..RWP.S035.PR00001
Daily History Exceptions
Accumulation File Number Totals380&DNODE..RWP.S035.PR99999
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..JRW.S035.EXCP6PR0
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..RWP.S015.PR00000
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..RWP.S015.PR00001
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..RWP.S015.PR99999
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..RWP.S035.PR00000
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..RWP.S035.PR00001
Daily History Exceptions
Review Utilization Line Edit Details383&DNODE..RWP.S035.PR99999
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..JRW.S035.EXCP6PR0
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..JRW.S035.EXCPTPR9
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..RWP.S015.PR00000
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..RWP.S015.PR00001
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..RWP.S015.PR99999
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..RWP.S035.PR00000
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..RWP.S035.PR00001
Daily History Exceptions
Review Utilization Line Edit Totals382&DNODE..RWP.S035.PR99999
Daily History Exceptions
Screen Detail385&DNODE..JRW.S035.EXCP6PR0
Daily History Exceptions
Screen Detail385&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Screen Detail385&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Screen Detail385&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Screen Detail385&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Screen Detail385&DNODE..RWP.S015.PR00000
Daily History Exceptions
Screen Detail385&DNODE..RWP.S015.PR00001
Daily History Exceptions
Screen Detail385&DNODE..RWP.S015.PR99999
Daily History Exceptions
Screen Detail385&DNODE..RWP.S035.PR00000
Daily History Exceptions
Screen Detail385&DNODE..RWP.S035.PR00001
Daily History Exceptions
Screen Detail385&DNODE..RWP.S035.PR99999
Daily History Exceptions
Screen Summary384&DNODE..JRW.S035.EXCP6PR0
Daily History Exceptions
Screen Summary384&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Screen Summary384&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Screen Summary384&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Screen Summary384&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Screen Summary384&DNODE..RWP.S015.PR00000
Daily History Exceptions
Screen Summary384&DNODE..RWP.S015.PR00001
Daily History Exceptions
Screen Summary384&DNODE..RWP.S015.PR99999
Daily History Exceptions
Screen Summary384&DNODE..RWP.S035.PR00000
Daily History Exceptions
Screen Summary384&DNODE..RWP.S035.PR00001
Daily History Exceptions
Screen Summary384&DNODE..RWP.S035.PR99999
Daily History Exceptions
Screen Totals384&DNODE..JRW.S035.EXCP6PR0
Daily History Exceptions
Screen Totals384&DNODE..JRW.S035.EXCP6PR9
Daily History Exceptions
Screen Totals384&DNODE..JRW.S035.EXCPRPT6
Daily History Exceptions
Screen Totals384&DNODE..MGR.S010.PRTIDAHO
Daily History Exceptions
Screen Totals384&DNODE..MGR.S010.PRTSUMRY
Daily History Exceptions
Screen Totals384&DNODE..RWP.S015.PR00000
Daily History Exceptions
Screen Totals384&DNODE..RWP.S015.PR00001
Daily History Exceptions
Screen Totals384&DNODE..RWP.S015.PR99999
Daily History Exceptions
Screen Totals384&DNODE..RWP.S035.PR00000
Daily History Exceptions
Screen Totals384&DNODE..RWP.S035.PR00001
Daily History Exceptions
Screen Totals384&DNODE..RWP.S035.PR99999
Daily Safe Audit ReportAU1001&DNODE..SFR.S020.AU10011
Error Alert Code ReportXW40001&DNODE..XWR.S110.SORTOUT
Hearings/Review Exception Report320&DNODE..IJR.S110.PR11320
History Dump Request (for PSC)011&DNODE..PRH.S090.YRnn.PR00000
History Dump Request (for PSC)011&DNODE..PRH.S090.YRnn.PR99999
History Dump Request (for PSC)011&DNODE..PRH.S090.YRnn.PR00001
History Dump Request (for PSC)011&DNODE..PRH.S100.PR00000
History Dump Request (for PSC)011&DNODE..PRH.S100.PR00001
Incoming Alert Code ReportXW40002&DNODE..XWR.S12.SORTOUT
Monthly Voluntary Refund Checks Summary ReportFR8101&DNODE..UVR.S040.FR81011
Open Aging Report301&DNODE..IJR.S110.PR11301
Open Aging Report - JB report file301&DNODE..IJR.S110.PR12301
Open Correspondence Detail Report317&DNODE..IJR.S110.PR11317
Open/Received Cases Report (Monthly)321&DNODE..IJR.S110.PR11321
PIMR CAFMII Medical Review Monthly Summary ReportIM5301&DNODE..PMP.S180.PRT1153
PIMR Claims Processing Monthly Summary ReportIM8001&DNODE..PMP.S120.PRT1IM8
PIMR Denial Reasons Monthly Summary ReportIM6001&DNODE..PMP.S060.PRT1IM6
PIMR Other Referral Monthly Summary ReportIM7001&DNODE..PMP.S090.PRT1IM7
PIMR Pre-Pay Medical Review Monthly Detail ReportIM5201&DNODE..PMP.S150.PRT1152
PIMR Prepay Medical Review Summary ReportIM5001&DNODE..PMP.S030.PRT1IM5
PIMR Selected Detail ReportIM5451&DNODE..PMS.S060.PRT1IM5
Procedure Codes Not Found on the ACE Master013G&DNODE..BER.S020.PR00001
Recapitulation Report161&DNODE..CLR.S050.PR00001
Report of Participating Providers with Unassigned Claims541&DNODE..IRT.S080.SORTOUT
Report of Providers with Lab Assignment Violations571&DNODE..IRT.S080.SORTOUT
SAFE Detail ReportAU2002&DNODE..SFR.S010.AU20021
SAFE Summary ReportAU2001&DNODE..SFR.S010.AU20011
Status of Claims Pending Report162&DNODE..CLR.S050.PR00001
Summary Report of Participating Providers with Unassigned Claims540&DNODE..IRT.S080.SORTOUT
Summary Report of Providers with Lab Assigned Violations572&DNODE..IRT.S080.SORTOUT
SuperOp - Event Totals Report - CarrierAU201&DNODE..VSR.S030.P1AU200
SuperOp - Event Totals Report - TotalAU201&DNODE..VSR.S030.P0AU200
SuperOp - No Activity Event Totals Report - CarrierAU298&DNODE..VSR.S030.P1AU298
SuperOp - No Activity Event Totals Report - TotalAU298&DNODE..VSR.S030.P0AU298
Withholding Rollup Audit ReportFR41001&DNODE..ARR.S200.P141001
Super Op Events Activity ReportAU250
Super Op No Activity events reportAU298
Super Op No Activity events reportAU299
Super Op search resultsAU310
Super Op Provider totals by eventAU920
Super Op event totals by providerAU930
Super Op Print Event definitionAU940
Super Op Print Value set definitionAU945
Super Op Daily Monitoring by alt keyAU960
Super OP daily claim statics reportAU900
= Content of report currently being defined

&14CMS-RFP-2010-0004

Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)

Attachment J-01AA Base Reports PSCs/ZPICs Need Source Selection Information - See FAR 2.101 and 3.104 &P

File details come from the government source that posted it. Updated .