Report Restore

Online Report Restore Request

The Online Report Restore Request tool allows Trading Partners with established connectivity to electronically request the restoration of reports. Multiple report restore requests can be submitted at the same time by clicking the Additional Requests symbol displayed under the detailed report request entries. Additional report request entries can also be removed by clicking the Remove Requests symbol. Once the request has been submitted, the available reports will be restored to the appropriate Submitter/Receiver ID destination within 1-2 business days. If a report is not available for restoration, a response email will be sent to the requestor outlining which report(s) were not available and why.

* Indicates required field.

Report Restore Form, please fill out the information below.

* Requestor Name

* Email Address

* Contact Phone Number

* Line of Business Options

Per CMS guidelines, the following limitations apply to the restoration of Encounter Data System reports:

999 and 277CA cannot be older than 20 business days

MAO-001 and MAO-002 reports cannot be older than 60 business days

* Submitter ID

Sample Input ENH{4-digit number}; MMP sample input DCA{3-digit number}

* Submitter ID

Sample Input - SH{4-digit number}

Daily

Monthly
This field is required.

* Submitter ID / Receiver ID

Sample Input - SH{4-digit number}

Daily

Cumulative

Plan to Plan

Phase 3

Exclusion Warning

This field is required.

* Submitter ID

Sample Input - DCA{3-digit number}

* Submitter ID

Sample Input - DCA{3-digit number}

Form Data

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