WCMBP Trading Partner Testing Procedures (Office of Workers’ Compensation Programs) Completion of the testing process is not mandatory prior to submitting electronic transactions to WCMBP. However, it is strongly recommended to ensure proper billing and prompt medical bill processing and payment. Testing is conducted to ensure the following HIPAA compliance levels: Level 1 Syntactical integrity: Testing of … Read More →
Billing Agents/Clearinghouses responsibilities in the EDI Processing Each billing agent/clearinghouse must have an OWCP provider ID number to submit bills via the WCMBP system, and must provide their OWCP Provider ID number to each provider for whom they are billing. Legacy billing agent/clearinghouses: OWCP provider information will transfer to the WCMBP system. They will receive a Welcome and Registration … Read More →
How Can EDI Bills Be Submitted (WCBMP Guides) Direct Data Entry Direct Data Entry (DDE) is available to all providers upon registration with the WCBMP system (Also referred to as Web Interactive). Enter bills directly into the WCMBP system via the “On-Line Bills Entry” link on the Provider Portal. Accommodates several bill types (professional, institutional, … Read More →
Office of Workers’ Compensation Programs EDI Basics EDI allows Providers to avoid claim processing delays, reduction of administrative postage, materials and handling cost, faster detection of errors and faster payments. In the series of posts #WCMBP_EDI, we’ll cover information on how to establish an EDI account and submit files. Providers can submit their EDI files through the … Read More →