EDI Files

EDI Files Timeframe And Schedules For IEHP EDI Providers EDI Files processing schedules and timelines must be adhered to for IEHP COB plans. These schedules include: Eligibility Data File Transmission Schedule, Encounter Data File Due Date Schedule, Capitation Data File Transmission Schedule. Eligibility data files are placed on the Secure File Transfer Protocol (SFTP) server. A full monthly file is Read More →

Medicare EDI

Medicare EDI Service Overview And Advantages Medicare EDI (Electronic Data Interchange) is the computer-to-computer electronic exchange of business documents using standard format. 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. The acceptable HIPAA compliant format is the American Read More →

TMHP Electronic Billing

TMHP Electronic Billing Setting up Access, Training TMHP Electronic Billing all software vendors and billing agents to complete EDI testing before access to the production server is allowed. Providers must setup their software or billing agent services to access the TMHP EDI Gateway. Providers who use billing agents or software vendors should contact those organizations for information Read More →

TMHP EDI Claims

TMHP EDI Claims Submission Methods TMHP EDI Claims from providers can be submitted either using software (to submit files directly to TMHP) or they may use a billing agent (i.e., billing companies, vendors, or clearinghouses) that submits files on the provider’s behalf. TMHP EDI Claims Submission – Software Providers that intend to use TMHP’s electronic Read More →