EDI Claims Electronic Submission

EDI Claims Electronic Submission (Palmetto GBA Guidelines) EDI Claims Electronic Submission is released via telephone lines, via a modem, to Palmetto GBA. EDI Claims Electronic Submission gives the provider control over the timeliness and accuracy of the claims entry by eliminating the need for mailroom processing and manual data entry by Palmetto GBA. Payment for ‘clean Read More →

EDI Health Care Insurance

Ohana Health Plan EDI Claims Submission Guidelines Ohana Health Plan EDI Claims are sent electronically via EDI. Ohana Health Plan EDI Claims Submission is less costly than billing with paper and, in most instances, the Plan can process your electronic claim in half the time of a paper claim. For EDI submissions, providers should follow the HIPAA transaction 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 →

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 →