by Lori | Oct 9, 2016 | Medicare payment basics
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? Answer: Please have the following information available prior to calling about an EDI-related issue so we may assist you: Provider Transaction Access Number...
by Lori | Oct 9, 2016 | Medicare payment basics
Medicare systems contain extensive personally identifiable information on beneficiaries. As established by the Privacy Act and the Health Insurance Portability and Accountability Act (HIPAA), beneficiaries have a right to expect that their data will not be seen by...
by Lori | Oct 9, 2016 | Medicare payment basics
How to Enroll in Medicare Electronic Data Interchange The Centers for Medicare & Medicaid Services (CMS) Standard Electronic Data Interchange (EDI) Enrollment Form must be completed prior to submitting electronic media claims (EMC) or other EDI transactions...
by Medical Billing | Aug 9, 2012 | Medicare payment basics
Electronic Claims As of October 16, 2003, all providers and suppliers must submit claims electronically via Electronic Data Interchange (EDI) in the Health Insurance Portability and Accountability Act format, except in limited situations. Electronic versions of...
by Lori | Nov 2, 2010 | Medicare payment basics
Electronic Data Interchange – Institutional & Dental Claims 837 Health Care Claim Submissions INSTITUTIONAL Loop Segments/Data Elements Billing Provider Loop 2010aa NPI: NM108 = XX and NM109 = NPI Tax ID: REF01 = EI and REF02 = Tax ID Legacy ID not mandated...