How to Correct a Rejected Claim
Need help?
Contact Us About Claims
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections:
(866) 518-3253
7:00 am to 4:30 pm CT M-Th
DDE Navigation & Password Reset: (866) 518-3251
7:00 am to 4:30 pm CT M-F
DDE System Access: (866) 518-3295
7:00 am to 4:30 pm CT M-F
EDI: (866) 518-3285
7:00 am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections:
(866) 580-5980
8:00 am to 5:30 pm ET M-Th
DDE Navigation & Password Reset: (866) 580-5986
8:00 am to 5:30 pm ET M-F
DDE System Access: (866) 518-3295
8:00 am to 5:30 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
EDI: (866) 518-3285
7:00am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Need help?
General questions about Medical Review
- (866) 518-3285
7:00 am to 5:00 pm CT M-F
- (866) 234-7331
8:00 am to 5:00 pm ET M-F
- (866) 518-3285
7:00 am to 5:00 pm CT M-F
- (866) 234-7331
8:00 am to 5:00 pm ET M-F
Need help?
Contact Us About Overpayments
Inquiries regarding refunds to Medicare - MSP Related
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Inquiries regarding overpayments NOT associated with MSP
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Reimbursement.Overpayment.
Inquiry@wpsic.com
Inquiries regarding refunds to Medicare - MSP Related
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Inquiries regarding overpayments NOT associated with MSP
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Reimbursement.Overpayment.
Inquiry@wpsic.com
Questions regarding overpayments associated with MSP related debt
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Questions regarding overpayments NOT associated with MSP related debt
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 6:00pm ET) M-Fri
Payment.Recovery.Inquiry@wpsic.com
Questions regarding overpayments associated with MSP related debt
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Questions regarding overpayments NOT associated with MSP related debt
(866) 234-7331
8:00 am to 5:00 pm ET (7:00 am to 4:00pm CT) M-Fri
Payment.Recovery.Inquiry@wpsic.com
Need help?
Contact us about Appeals
7:00 am to 5:00 pm CT M-F
8:00 am to 5:00 pm ET M-F
7:00 am to 5:00 pm CT M-F
8:00 am to 5:00 pm ET M-F
Need help?
Contact Us About Provider Enrollment
(866) 518-3285
7:00 AM - 5:00 PM CT, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
8:00 AM - 5:00 PM ET, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 518-3285
7:00 AM - 5:00 PM CT, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
8:00 AM - 5:00 PM ET, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
Need help?
Contact us about Policies
- (866) 518-3285 - General questions about Policies
7:00 am to 5:00 pm CT M-F
- (866) 234-7331 - General questions about Policies
8:00 am to 5:00 pm ET M-F
- (866) 518-3285 - General questions about Policies
7:00 am to 5:00 pm CT M-F
- (866) 234-7331 - General questions about Policies
8:00 am to 5:00 pm ET M-F
LCD Reconsideration Request: Policycomments@wpsic.com
Draft LCD Comments: Policycomments@wpsic.com
IDE Submissions: IDE.mailbox@wpsic.com
RSVP for Open Meeting and CAC: LCDCAC@wpsic.com
Questions about Payments and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Need help?
Need help?
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 8696
Madison, WI 53708-8696
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 14172
Madison, WI 53708-0172
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Need help?
Try these links first.
Questions about Self-Service?
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Try these links first.
Questions about Self-Service?
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Try these links first.
Questions about Self-Service?
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Try these links first.
Questions about Self-Service?
(866) 234-7331
8:00 am to 5:00 pm ET M-F
How to Correct a Rejected Claim
You currently have jurisdiction selected, however this page only applies to these jurisdiction(s): .
Medicare rejects a claim when it is missing key data needed to make an official determination on (adjudicate) the claim. These rejected claims are also called unprocessable claims. Although these claims finalize in the claims processing system and appear on a remittance advice, Medicare does not consider them to be processed claims. You cannot request a redetermination on these claims because they have not received an initial determination. They also do not qualify for a Clerical Error Reopening (CER). You can only correct a rejected or unprocessable claim by submitting a new claim with the correct information.
Identifying an Unprocessable Claim
You can identify an unprocessable claim by the reason and remark codes that appear on the remittance advice. Unprocessable claims include Remittance Advice Remark Code (RARC) MA130, which states, “Your claim contains incomplete and/or invalid information, and no appeal rights are afforded because the claim is unprocessable. Please submit a new claim with the complete/correct information.”
Unprocessable claims also include a Claim Adjustment Reason Code (CARC) indicating that the claim is missing information or that the information is incomplete or invalid. Since providers are responsible for submitting complete and correct claims, unprocessable claims reject as a Contractual Obligation (CO), meaning the provider cannot bill the patient for the rejected service. The following are some of the most common group/CARC code combinations assigned to unprocessable claims:
- CO-16: Claim/service lacks information which is needed for adjudication.
- CO-4: The procedure code is inconsistent with the modifier used or a required modifier is missing.
- CO-181: Procedure code was invalid on the date of service.
Correcting the Incomplete, Incorrect, or Invalid Information
To correct an unprocessable claim, you need to know what data element was incomplete, incorrect, or invalid. The remittance advice includes one or more RARC codes that identify the reason the claim was unprocessable. Below are some of the most common unprocessable RARC codes along with tips for correcting the claim.
Remark Code M20
Definition: Missing/incomplete/invalid HCPCS
The HCPCS code is not valid for the date of service listed on the claim. Verify the effective dates of the HCPCS code. Find the appropriate code for the date of service and resubmit the claim to Medicare.
Remark Code M51
Definition: Missing/incomplete/invalid procedure code(s)
Verify the procedure code is valid for the date of service on the claim. The procedure code is located in Item 24D of the CMS-1500 claim form or Loop 2400 of the electronic claim.
Remark Code M52
Definition: Missing/incomplete/invalid "from" date(s) of service
Two situations will receive this type of rejection:
- A span of dates was listed for the date of service and the number of units billed did not correspond to the number of dates (e.g., a span of five dates was billed, but the number of units billed was only one). Correct the date of service or the number of units, as appropriate.
- The line of service was quantity-billed (more than one unit of service was billed on the same line), and Medicare does not allow the service to be billed with that quantity on a single line.
- Some services cannot be quantity-billed. In these situations, you need to bill each unit on a separate line of service and possibly use an appropriate modifier.
- Medicare limits the number of services that can be billed per line. In most cases, the limit is based on one of the Medicare NCCI Medically Unlikely Edits. Use the Practitioner Services MUE Table to find the maximum number of units usually allowed for the service and bill accordingly. Remember that Medicare does not publish all MUEs.
Remark Codes M76 and M81
Definitions:
M76: Missing/incomplete/invalid diagnosis or condition
M81: You are required to code to the highest level of specificity
When these remark codes apply to the same claim line, the corresponding diagnosis code needs to be more specific. Medicare requires all claim submissions to contain the most specific diagnosis code available. Review the diagnosis code and select the most specific code to describe the reason for the encounter/visit.
Remark Code M77
Definition: Missing/incomplete/invalid place of service
Medicare requires a two-digit place of service (POS) code on all claims submitted. The POS code represents the physical location where the services occurred. See the CMS Internet-Only Manual (IOM) Publication 100-04, Medicare Claims Processing Manual Chapter 26– Completing and Processing Form CMS-1500 Data Set , Section 10.5, for a description of the POS codes.
Verify a valid POS code is listed the claim in Item 24b of the CMS-1500 claim form or Loop 2300 (claim level)/2400 (line item level) of the electronic claim.
Remark Code M123
Definition: Missing/incomplete/invalid name, strength, or dosage of drug furnished.
Medicare cannot process a drug code without the name, dosage, strength, and method of delivery of the drug. If the procedure code itself does not contain the information (i.e., the code is not otherwise classified (NOC) or unspecified), the information must be included on the claim. Add the information to Item 19 of the CMS-1500 claim form or the NTE segment in Loop 2300 (claim level) or 2400 (procedure level) of the electronic claim.
Remark Code MA04
Definition: Secondary payment cannot be considered without the identity of or payment information from the primary payer. The information was either not reported or was illegible.
Primary insurance information was included on the claim, but it was incomplete or invalid. Verify the information submitted is complete and accurate. Also verify the information listed belongs to a primary insurer other than Medicare. (If Medicare is the patient’s primary insurer, do NOT include it in the section reserved for other primary payer information.)
Check the information in Items 11 - 11D of the CMS-1500 claim form or Loop 2320 of the electronic claim.
Remark Code MA61
Definition: Missing/incomplete/invalid health insurance claim number
The patient's Medicare number on the claim is not correct. Contact the patient to verify their Medicare Beneficiary Identifier (MBI). After finding the correct number, correct the information in Item 1A of the CMS 1500 claim form or in Loop 2010BA of the electronic claim.
Remark Code MA75
Definition: Missing/incomplete/invalid patient or authorized representative signature
The claim is missing the patient’s or authorized representative’s signature in Item 12 or 13 of the CMS-1500 claim form or Loop 2300 of the electronic claim. If the provider keeps the patient’s or authorized representative’s signature on file authorizing submission of all claims to Medicare, the claim can indicate “Signature on File” in lieu of the actual signature.
Remark Code MA83
Definition: Did not indicate whether we are primary or secondary payer
The primary insurance information was missing or invalid.
For paper claims: Item 11 cannot be blank. If Medicare is the primary insurer, Item 11 should indicate “None.” If Medicare is the secondary payer, Items 11 – 11D should list the primary insurer’s information.
For electronic claims: Verify the information in loop 2320. If Medicare is the primary payer, Loop 2320 should be blank. If Medicare is the secondary payer, complete all fields in Loop 2320.
Remark Codes MA112 and N290
Definitions:
MA112: Missing/incomplete/invalid group practice information
N290: Missing/incomplete/invalid rendering provider information
There are three possible reasons for this type of rejection:
- The rendering provider information is missing or invalid in Item 24J of the CMS-1500 claim form or Loop 2310B of the electronic claim.
- The group practice information is missing or invalid in Item 33 of the CMS-1500 claim form or Loop 2010AA of the electronic claim.
- The rendering provider information (in Item 24J of the CMS-1500 claim form or Loop 2310B of the electronic claim) is not associated with the group practice information (in Item 33 of the CMS-1500 claim form or Loop 2010AA of the electronic claim) in Medicare’s enrollment records. Verify the provider’s name and NPI information is entered correctly. Contact the Provider Enrollment department to verify/update the information, if necessary.
Remark Code MA114
Definition: Missing/incomplete/invalid information on where the services were located
The service location’s address was not reported or was invalid. Verify the information is entered and correct.
On a paper claim, the service location address is listed in Item 32 of the CMS-1500 claim form for all types of service locations.
On an electronic claim, the address is entered in a different loop depending on the type of service location:
- Loop 2310C for laboratory/facility locations
- Loops 2310E and 2310F for ambulance
- Loop 2300 for mammography centers
Remark Code MA120
Definition: Missing/incomplete/invalid CLIA certification number
The Clinical Laboratory Improvement Amendments (CLIA) certification number was not entered or was invalid. Verify the correct CLIA number is listed in Item 23 of the CMS-1500 claim form or Loop 2300 of the electronic claim.
If the CLIA number was included on the claim, and Medicare still rejected it, contact your state’s CLIA regulatory agency to confirm the laboratory’s CLIA certification. Verify the laboratory is certified to perform the type of lab test billed on the claim on the CMS Categorization of Tests web page.
Remark Code MA122
Definition: Missing/incomplete/invalid initial treatment date
Claims for chiropractic services must contain the initial treatment date in Item 14 of the CMS-1500 claim form or Loop 2300 of the electronic claim. Verify the initial treatment date is entered and correct.
Remark Code N257
Definition: Missing/incomplete/invalid billing provider/supplier primary identifier
The group practice information in Item 33 of the CMS-1500 claim form or Loop 2010AA is missing, incomplete, or invalid. This could occur if:
- The group practice information was not listed on the claim.
- Group practice information was listed on the claim, but Medicare’s records show the enrollment is not currently active or is not recognized by WPS Government Health Administrators.
Verify the complete and correct group practice information is listed in the appropriate field on the claim. If you believe the information is correct, use the Provider Enrollment, Chain, and Ownership System (PECOS) or contact our Provider Enrollment department to verify your enrollment information.
Remark Code N260
Definition: Missing/incomplete/invalid billing provider/supplier contact information
The group practice information must be listed in Item 33 of the CMS-1500 claim form or Loop 2010AA of the electronic claim. Verify the group practice information is entered and correct.
Remark Code N286
Definition: Missing/incomplete/invalid referring provider primary identifier
All claims for items or services resulting from a provider’s order or referral must include the ordering or referring provider’s information in Item 17 and 17B of the CMS-1500 claim form or Loop 2310A (referring)/2420E (ordering) of the electronic claim. Verify the following:
- Verify the ordering/referring provider’s information is entered on the claim and is complete.
- Verify the ordering/referring provider’s name and National Provider Identifier (NPI) match.
- Verify the ordering/referring provider is listed in the NPI Registry.
Additional Claim Submission Resources
The following resources provide information about completing the CMS-1500 claim form and the ANSI 837 5010 electronic claim form:
- Internet-Only Manual (IOM) Publication 100-04, Medicare Claims Processing Manual, Chapter 26– Completing and Processing Form CMS-1500 Data Set , Section 10
- CMS 1500 TO ANSI 837 5010 Crosswalk
global-tags: J8B,J5B,Claims,Claim Corrections
Need help?
Contact Us About Claims
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections:
(866) 518-3253
7:00 am to 4:30 pm CT M-Th
DDE Navigation & Password Reset: (866) 518-3251
7:00 am to 4:30 pm CT M-F
DDE System Access: (866) 518-3295
7:00 am to 4:30 pm CT M-F
EDI: (866) 518-3285
7:00 am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections:
(866) 580-5980
8:00 am to 5:30 pm ET M-Th
DDE Navigation & Password Reset: (866) 580-5986
8:00 am to 5:30 pm ET M-F
DDE System Access: (866) 518-3295
8:00 am to 5:30 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
EDI: (866) 518-3285
7:00am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
.
View AMA License
LICENSE FOR USE OF PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (CPT)
End User Point and Click Agreement:
CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of Centers for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by CMS. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60654. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt.
Applicable FARS\DFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
AMA Disclaimer of Warranties and Liabilities.
CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this agreement.
CMS Disclaimer
The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.
Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking above on the button labeled "Accept".
LICENSE FOR USE OF CURRENT DENTAL TERMINOLOGY (CDT™)
These materials contain Current Dental Terminology (CDTTM), Copyright © 2010 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.
THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING ABOVE ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.
IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.
IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.
- Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
- Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association web site, http://www.ADA.org/.
- Applicable Federal Acquisition Regulation Clauses (FARS)\Department of restrictions apply to Government Use. Please click here to see all U.S. Government Rights Provisions.
- ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THE IMPLIED WARRANTIES O F MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. NO FEE SCHEDULES, BASIC UNIT, RELATIVE VALUES OR RELATED LISTINGS ARE INCLUDED IN CDT. THE ADA DOES NOT DIRECTLY OR INDIRECTLY PRACTICE MEDICINE OR DISPENSE DENTAL SERVICES. THE SOLE RESPONSIBILITY FOR THE SOFTWARE, INCLUDING ANY CDT AND OTHER CONTENT CONTAINED THEREIN, IS WITH (INSERT NAME OF APPLICABLE ENTITY) OR THE CMS; AND NO ENDORSEMENT BY THE ADA IS INTENDED OR IMPLIED. THE ADA EXPRESSLY DISCLAIMS RESPONSIBILITY FOR ANY CONSEQUENCES OR LIABILITY ATTRIBUTABLE TO OR RELATED TO ANY USE, NON-USE, OR INTERPRETATION OF INFORMATION CONTAINED OR NOT CONTAINED IN THIS FILE/PRODUCT. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third party beneficiary to this Agreement.
- CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. IN NO EVENT SHALL CMS BE LIABLE FOR DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OF SUCH INFORMATION OR MATERIAL.