The CGS Medicare list of the TOP 10 EDI Claim Edits during claims submission Most claims that hit the CGS ACE pre-adjudication editing process are not forwarded to the claims processing system. If a claim receives a Smart Edit, review the information, decide if updates are needed or not, and resubmit it for processing. To … Read More →
Common Electronic Data Interchange (CEDI) Basic Guides (Celerian Group Company) The CEDI provides a single front end solution for the submission and retrieval of DME MAC electronic transactions. CEDI handles these transactions for all DME MACs. CEDI handles: Electronic claims (ANSI X12 837 and NCPDP) Delivery of all electronic front end reports Enrollment and delivery of electronic … Read More →
CGS Additional Electronic Options to increase business productivity There are additional electronic options available which will increase your business’ productivity. These options include Claim Status Inquiry (CSI), payable Certificate of Medical Necessity (CMN) status, 270/271, 276/277, and Electronic Remittance Advice (ERA). Claim Status Inquiry (CSI) Claim Status Inquiry (CSI) allows you to electronically check the … Read More →
Electronic Medical Claims Transmission Requirements (CGS Medicare) EDI gives you the ability to transmit Electronic Media Claims (EMC) to Medicare in a Health Insurance Portability and Accountability Act (HIPAA) compliant format. Electronic Data Interchange (EDI) will simplify time-consuming, labor-intensive jobs and ultimately enable you to increase your productivity. The following are a few of the benefits … Read More →