HIPAA Vendor Registration (NJ Medicaid HIPAA Attachment Cover Sheet) With the inception of HIPAA, there is a conscious effort to reduce the amount of paper required for claim submission. Previously, claims requiring additional information not provided on the hard copy claim forms or in electronic formats had to be submitted with attachments to provide the … Read More →
EDI Submission Verification (NJ Medicaid EDI Guides) EDI Submission Verification (TA1 Interchange Acknowledgements) will be available to the EDI Submitter upon completion of uploading (dropping-off) their interchanges on the Website as long as the submitter stays connected. If the submitter disconnects immediately after dropping-off their interchange and does not receive their TA1, then the EDI … Read More →
Interchange Naming Convention (New Jersey Medicaid EDI Specifications) Interchange Naming Convention for submission of HIPAA transactions supports the DOS file-naming convention of 8- characters followed by a 3-character extension. The file name format MUST be one alphabetic character (A – Z) or one numeric character (0 – 9) or one of eight special characters (~, … Read More →
EDI Telecommunications Specifications (New Jersey Medicaid HIPAA Transactions) EDI Submitters using the website will drop-off 837 transactions and pick-up TA1 and 999 transactions through a secure area of the New Jersey Medicaid Website. HIPAA interchanges can be sent seven days a week, Sunday thru Saturday, with the following exceptions, which have been scheduled as maintenance … Read More →