HIPAA Claims Filing

HIPAA Claims Filing Requirements For Palmetto GBA Providers HIPAA Claims Filing requirements by Palmetto GBA require providers to submit claims for all Medicare patients for services rendered. HIPAA Claims Filing requirements apply to all physicians and suppliers who provide covered services to Medicare beneficiaries. You may not charge your patients for preparing or filing a Medicare claim. The requirement Read More →

EDI CMS 1500

EDI CMS 1500 Instructions (The Security Health Plan) EDI CMS 1500 can be processed by the Security Health Plan Processing System that is designed to process standard health insurance claim forms (CMS 1500) using CPT-4 Procedure Codes or Health Care Common Procedure Coding System (HCPCS) with appropriate modifiers and ICD-10-CM Diagnosis Codes. Security Health Plan Processing Read More →

Passport Health Plan EDI Guidelines And Recommendations Passport Health Plan EDI Program stimulates providers to submit claims electronically using Electronic Data Interchange instruments. Passport Health Plan EDI claims submitting allows faster, more efficient, and cost-effective claim submission for providers. EDI, performed in accordance with nationally recognized standards, supports the health care industry’s efforts to reduce administrative costs. Read More →

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837 Health Care Claim Reports And Considerations Notes (Beacon Health Options) 837 Health Care Claim Reports And Considerations Notes for Beacon Health Options company partners are given below as mandated by the administrative simplification provisions of HIPAA. All 837 Health Care Claim reports will be available to providers/trading partners via the EDI Gateway in the respective mailboxes. To Read More →

837P and 837I Health Care Claims

837P and 837I Health Care Claims Notes For Beacon Health Options Partnering Parties 837P and 837I Health Care Claims are accepted by Beacon Health Options (Beacon) as mandated by the administrative simplification provisions of HIPAA. 837P and 837I Health Care Claims guidelines provided below areused in conjunction with the X12 implementation guide. The implementation guides for all HIPAA Read More →

270/271 Eligibility Inquiry & Response

Metro Plus Health Plan EDI Claims Submission Notes Metro Plus Health Plan EDI Claims should be submited to Beacon Health Strategies either through electronic data interchange (EDI) connection to Beacon or via Beacon’s eServices web application. Metro Plus Health Plan EDI Claims can be submitted directly by a provider, or through a billing intermediary. EDI: Read More →

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Affinity Health Plan EDI Claim Submission Requirements and Guidelines Affinity Health Plan EDI Claim information, unique to Affinity Health Plan claims, must be provided and properly formatted in the EDI file. The guidelines given in this blog and the previous one must be carefully studied by the partners before sending EDI claims to Affinity Health Plan.  Affinity Health Read More →

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Ingham Health Plan EDI Claim Forms Guidelines Ingham Health Plan EDI Claims should be sent directly to Emdeon (Ingham Health Plan clearinghouse). In order to to participate in electronic claims submission partnership with Ingham Health Plan your party must be a customer of  Emdeon. Also your party can send Ingham Health Plan EDI Claims using the service of any Read More →

Ingham Health Plan EDI Claims Guidelines Ingham Health Plan EDI Claims (both professional and institutional) are excepted through Ingham Health Plan clearinghouse Emdeon. Ingham Health Plan uses Electronic Data Interchange (EDI) for electronic claims submission. Ingham Health Plan EDI Claims submission eliminates the need for your office staff to prepare claims manually or re-key repetitive transaction information. Read More →