EDI COB

EDI COB Center For Celerian Group Companies Customers, Beneficiaries And Providers EDI COB Center Assistance is given for CGS (Celerian Group Companies) contractors regarding EDI Coordination of Benefits issues. EDI COB Center Assistance (Benefits Coordination & Recovery Center) is provided to: All Customers Answers to general questions regarding Medicare Secondary Payer (MSP). Requests for duplicate questionnaires. Beneficiaries Read More →

CAQH CORE 250

CAQH CORE 250: Claim Status Infrastructure Rule Guides CAQH CORE 250 Rule for operating rules for the eligibility and claim status transactions adopts all the Phase I and II CAQH CORE Eligibility and Claim Status Operating Rules except those requirements pertaining to the use of Acknowledgements. Entities seeking CORE Certification must implement all of the CAQH CORE Eligibility and Claim Read More →

837 Dental Healthcare Claim

EDI 837 Dental Healthcare Claim Technical Environment Guidelines (Washington State Medicaid) EDI 837 Dental Healthcare Claim technical guides are to be used by members/technical staff of trading partners who are responsible for electronic transaction/file exchanges. Completion of the testing process must occur prior to submitting electronic transactions in production to ProviderOne. EDI 837 Dental Healthcare Claim Read More →

HIPAA 007030X344 271

HIPAA 007030X344 271 Premium Grace Period Notification: Presentation Examples HIPAA 007030X344 271 Premium Grace Period Notification implementation guides use a format that depicts both the generalized standard and the insurance industry-specific implementation. The ASC X12 standards are generic. For example, multiple trading communities use the same PER segment to specify administrative communication contacts. Each community decides which elements to Read More →

Version 7030TM

Version 7030 Review Process Comments And Engagement Version 7030 refers to the next major release of electronic health care administrative transaction standards developed by the Insurance Subcommittee (N) of X12, a national accredited standards committee. Version includes those transactions adopted under HIPAA (as version 5010) as well as those that were not adopted by regulation. Currently the Version Read More →

Eligibility & Claim Status CAQH CORE Companion Guides

X12N Version 7030 – TR3 Public Review and Comment Process FAQs X12N Version 7030 FAQs are provided to assist parties involved in health care regarding the upcoming industry review of the X12N version 7030 transaction standards. The goal is to heighten industry awareness, provide a foundational understanding of the X12N Version 7030 process, and encourage and support Read More →