Crosswalk

Medicare Advantange Supplemental Dental Submission Guide	Type of Change	Rational for Change	Impact to the Burden
Title	Updated Name and Version	Update to current Name and Version 1.1 created February 2024	none
Instructions	Updated to 837D	Update to be current	none
Preface	Removed all prior information	Not needed for PRA Dental Services	none
Table of Contents	Removed Preface Section	Not needed for PRA Dental Services	none
Table of Contents: Section 5	Added Supplemental to Section 5 title	Consistency	none
Table of Contents: Section 7	Added Supplemental to Section 7 title	Consistency	none
Introduction 1.1 Statutory and Regulatory Background	Added this section	Updated for dental services	none
Introduction 1.2 Scope	Updated to be current	Updated for dental services	none
Introduction 1.2 Scope	Hyperlinks added	Updated for dental services	none
Introduction 1.3 Overview	Moved to Section 1.3 Overview	Updated to be Section 1.3 Overview	none
Introduction 1.3 Overview	Added MASDS	Updated for supplemental dental services	none
Contact Information: 2.1 The Customer Service and Support Center (CSSC)	Updated contact information with hyperlinks	Updated for dental services	none
File Submission 3.1 Enrolling to Submit Supplemental Dental Encounter Data	Updated enrolling information and adding hyperlink	Reference Materials	none
File Submission 3.2 File Naming Conventions	Changed section from File Size Limitations	Updated for dental services	none
File Submission 3.4 File Structure- NDM/Connect:Direct Submitters Only	Updated to provide more detailed information	Consistency	none
Control Segments/Envelops 4.1 ISA/IEA	Added the word Supplemental	Consistency	none
Control Segments/Envelops 4.1 ISA/IEA Table 4.1	Added the word Supplemental	Consistency	none
4.2 GS/GE	Added the word Supplemental	Consistency	none
4.3 ST/SE	Added the word Supplemental	Consistency	none
Section 5 837 MA Supplemental Dental: Data Elements	Added the word Supplemental and hyperlink	Consistency	none
Section 5 837 MA Supplemental Dental: Data Elements Table 5B	Added the word Supplemental	Consistency	none
Section 6.4.1 Testing Reports File Naming Convention Table 7B	Updated Naming Conventions	Updated	minimal
Section 6.4.2 Production Reports File Naming Convention	Updated Naming Conventions	Updated	minimal
Section 7 MA Supplemental Dental Testing and Certification	Added the word Supplemental	Consistency	none
Section 8 Acronyms	Updated Acronym and Definition	Consistency	none
Document	Removed "Draft" Watermark	Updated for Consistency	none