EDI Report Types (Claims Status Awaiting Resolution Option) There are a number of EDI Report Types available to monitor and manage electronic claims. TR reports provide the end-user with information to monitor and manage EDI claims still within the VA, that is, between the VAMC and the FSC in Austin, TX. The MM reports provide the … Read More →
EDI Billing Updates (Veterans Health Administration) EDI Billing Updates as for ASC X12N 5010 Health Care Claim (837) Transactions in the Veterans Health Administration EDI billing system include the following changes: An inpatient institutional 837 transaction no longer requires a POA for each diagnosis An inpatient admission date can no longer be transmitted on outpatient claims All … Read More →
EDI Billing Set-Up Veterans Health Administration (VHA). Associated Insurance Companies and Copying Physician/Provider Secondary IDs and Additional Billing Provider Secondary IDs Patch IB*2.0*320 provides the ability for users to associate multiple Insurance Company entries with each other. Example: If there are 45 Blue Cross/Blue Shield entries in the Insurance Company file, users can make one of … Read More →
Defining Pay-to Provider IDs On Billing Forms The Pay-to Provider NPI is not entered or maintained by Billing personnel. The Pay-to Provider NPI is retrieved from the Institution file (#4). Beginning with Patch IB*2*432, the Pay-to Provider Primary ID is the NPI number of the site defined as the Pay-to Provider. The Federal Tax Number is … Read More →