Benefits Of Electronic Claims Submissions At (Highmark Billing & Payment) Benefits Of Electronic Claims – convenient, confidential, and operational around the clock. All it takes is a computer, the proper software, and an Internet connection for electronic claims submission. Instead of printing, bundling, and sending paper claims through the mail, simply enter and store claims data through your Read More →

Claims Submission Procedures (First Time Submission Guidelines) Claims Submission procedures should be followed once vendor has met Manitoba Health requirements using a new Electronic User Site Number. At this time, Manitoba Health will review any areas of concern that were noted during the testing process and address vendor questions relating to handling reduced, rejected and returned claims. Any additional practitioners that join Read More →

Electronic Medical Claims Program Requirements (Manitoba Health, Healthy Living and Seniors) Electronic Medical Claims Program requires automation integrated with the current office tasks and procedures to maximize the benefits. An electronic medical billing system should provide your office with more rapid input, improved accuracy, faster processing and the ability to report and analyze practice statistics. Read More →

Claims Submission Via 837 File Guidelines (Alliance Behavioral Healthcare) Claims Submission Via 837 HIPAA compliant EDI file is available for poviders, including hospital facilities. Once an agency is EDI Certified, a secure FTP login and password will be assigned. 837s may be submitted using this Claims Submission method or by uploading the file through the provider portal using Read More →

Benefits of Electronic Data Interchange For CGS (A Celerian Group Company) Providers Benefits of Electronic Data Interchange to providers who conduct business with Medicare electronically are vivid. Some of those benefits include: No more paper claims: EDI (submitting claims to CGS electronically eliminates paperwork so your staff can accomplish more in less time. You will also Read More →

Jurisdiction 15 A/B MAC EDI Enrollment: CGS Provider EDI Enrollement Jurisdiction 15 A/B MAC EDI Enrollment goes under CMS instructions and CGS EDI providers must  follow the listed requirements. CGS will obtain an EDI Enrollment form for each provider prior to electronic transfer of data and issuance of system passwords/billing numbers to protect the security of transferred data. CGS Read More →

Celerian Group Company EDI Enrollment: The Internet EDI Enrollment Packet Celerian Group Company EDI Enrollment Packet should be completed to request an Internet EDI ID necessary to transmit Claim Status Request transactions (ANSI 276) and receive Claim Status Response transactions (ANSI 277), and/or retrieve Electronic Remittances (ANSI 835), via CGS’s public Internet. If retrieving Electronic Remittances (ANSI Read More →

Medicare Electronic Options: Transactions Increasing Business Productivity Medicare Electronic Options which will increase your business’ productivity include Claim Status Inquiry (CSI), payable Certificate of Medical Necessity (CMN) status, Beneficiary Eligibility (BE), 270/271, 276/277, and Electronic Remittance Advice (ERAs). Claim Status Inquiry (CSI) Claim Status Inquiry (CSI) allows you to electronically check the status of production claims after they have Read More →

Common Electronic Date Interchange (CEDI): Handling Medicare Transactions Common Electronic Date Interchange provides a single front end solution for the submission and retrieval of DME MAC electronic transactions. The Common Electronic Data Interchange contract for EDI services for all DME MAC suppliers. The acceptable HIPAA compliant format is the American National Standards Institute (ANSI) X12N Version 4010A1 837 transaction Read More →