RAC Coordination

Recovery Audit Contractor finding intake and de-duplication against own cases β€” required by 42 CFR Part 455 Subpart F.

Status: stub (Phase 3)

v1 captures the integration surface area. In production this page will:

  • Ingest RAC findings (CSV / X12 835 remits / state portal feed) into a holding table.
  • De-duplicate every RAC finding against open Cases by NPI + claim window so the MFCU and the RAC do not pursue the same claims.
  • Emit the quarterly RAC coordination report due to CMS under Β§455.508.
  • Push de-duped findings into the Cases table as new leads where no overlap exists.