Eligibility & Claim Status Operating Rules: Service Type Codes (STCs) Eligibility & Claim Status Operating Rules define some Service Type Codes (STCs) as “discretionary” in the CAQH CORE Eligibility & Benefits (270/271) Data Content Rules (CAQH CORE 154 & 260 Rules). For certain STCs, the patient financial data is not required to be returned for some benefits Read More →

Coordination of Benefits (COB) Assistance By BCRC (Benefits Coordination & Recovery Center) Coordination of Benefits (COB) issues can be consolidated by BCRC (Benefits Coordination & Recovery Center) that will correct any possible issues on their end, or report to the contractor any issues that require action on the part of the contractor. The Contractor can verify whether Medicare claims Read More →

Benefits Coordination & Recovery Center: Coordination of Benefits (COB) A Celerian Group Company Benefits Coordination & Recovery Center consolidates the activities that support the collection, management, and reporting of other insurance coverage for Medicare beneficiaries. The purposes of the Benefits Coordination & Recovery Center program are to identify the health benefits available to a Medicare beneficiary and Read More →

Texas Comptroller Enrolling in EDI Electronic Reporting (Adding Taxpayer Client Information, Enrolling, Verification of Enrollment) Texas Comptroller Enrolling in EDI Electronic Reporting requires selecting a taxpayer and browse for the test file that is located on the computer. Taxpayer will not be able to complete this process unless he has a file that meets EDI requirements. The file must Read More →

Texas Comptroller EDI FAQs (Tax Payers Sending Documents Electronically) Texas Comptroller EDI method helps current users to cut the time needed to file a return by 50 to 75 percent, while avoiding paper and postage costs. Depending on the tax, Texas Comptroller EDI taxpayers may be required to electronically report (file) and/or pay based on the amount Read More →

Electronic Data Interchange For Tax Payers (Sending Tax Information To Texas Comptroller) Electronic Data Interchange for tax payers can save time and money by using the electronic exchange of routine business data to transmit quarterly and monthly tax information for certain taxes. Electronic Data Interchange for tax payers is designed for businesses reporting a large number of outlets, leases, Read More →

Alaska Medicaid HIPAA EDI Requirements And Transactions Guidelines Alaska Medicaid HIPAA EDI Companion Guide is authored by the health plan. The purpose of a companion guide is to supplement the Technical Reports Type 3 (TR3s) which are also known as the HIPAA EDI Implementation Guides. These TR3s can be purchased at the X12 Store. Companion guides are Read More →