Electronic Remittance Advice

Electronic Remittance Advice And Electronic Funds Transfer for EmblemHealth Claims Electronic Remittance Advice and Electronic Funds Transfer are the standards for receiving EmblemHealth payments. Electronic Remittance Advice can be processed via PNC Remittance Advantage, a no-cost online payment solution that helps your office reduce payment processing expenses and improve cash flow. With PNC Remittance Advantage, you can receive Read More →

National Provider Identifier

National Provider Identifier Requirements (EmblemHealth Electronic Claims Submission) National Provider Identifier (NPI) should be checked by vendor practice management system to ensure vendor software is capturing and correctly populating a National Provider Identifier (NPI) in electronic claims, otherwise claims will be rejected by EmblemHealth. Please note the following NPI requirements for electronic health care claim submissions: Professional Provider Read More →

Benefits Of Electronic Claims

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

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

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

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 →

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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

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

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 →