Provider Claim Guidelines

CMS HIPAA Standards Approved CMS HIPAA Standards shall be supported by the A/B MACs, DME MACs, CEDI or other contractors if designated by CMS for the electronic data with Medicare providers/submitters/receivers/COB trading partners. ASC X12 Technical Report 3s (TR3s) for mandated HIPAA transactions may be purchased from Washington Publishing Company. The HIPAA-standard implementation specifications for Read More →

Version 7030

Version 7030 Is Coming – X12 EDI Training Online Schedule 2020-2021 TBD Version 7030 HIPAA EDI training is the most expected educational event in 2020. Follow our news to register for the first training stream. Find the course description below. HIPAA EDI 7030-101 – Introduction To The Health Care EDI Environment & 7030 Introduction to 7030 7030-5010 Major Gaps Read More →

Completing The HIPAA Attachment Cover Sheet

Completing The HIPAA Attachment Cover Sheet (NJ Medicaid Provider Instructions) With the implementation of HIPAA electronic data interchanges in the 837 5010 format these claims may now initially be submitted electronically with the required attachments following in the mail. Find the instructions for completing the HIPAA Attachment Cover Sheet below. Complete all necessary Loops and Segments for Read More →

HIPAA 837 Attachment

HIPAA 837 Attachment Cover Sheet Requirements (New Jersey Medicaid) 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 additional information Read More →

HIPAA Claim Submission Verification

HIPAA Claim Submission Verification – New Jersey Medicaid Companion Guides HIPAA Claim submission verification via 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 Read More →

EDI 864 Text Message

EDI 864 Text Message (Party City) Vendors must be capable of exchanging Party City EDI 864 Text Message via Electronic Data Interchange (EDI) transmittals. All vendors must be able to process EDI documents. Vendor must verify the accuracy of, and adhere to, all data on all EDI transactions that are sent electronically. EDI 864 Text Message transaction set can Read More →

edi webinars

EDI AS2 Information Exchange Testing (Party City Partner Relationship) EDI AS2 Information Exchange first step is the EDI TP Questionnaire. The AS2 certificate is part of the information exchange. A test schedule will need to be established to meet the two week requirement for completion of testing AS2 connectivity, 850, 810, 856, and 997 and providing a copy Read More →

Party City EDI 810 Invoice

Party City EDI 810 Invoice Vendor Guidelines Party City EDI 810 Invoice is used for the billing of goods shipped. All Corporate purchase orders received via EDI, must be invoiced using the 810 EDI transaction containing the following information: The Ref Si segment in the ASN must match the REF SI segment on the Invoice and Read More →

EDI 850 Purchase Order

EDI 850 Purchase Order Party City Vendor Guidelines EDI 850 Purchase Order transaction set is used to place purchase orders. The transaction set will not be used to convey purchase order changes or purchase order acknowledgment information. The 850 PO transaction set contains all information contained on a hard copy PO. The quantity ordered will always Read More →