Electronic Remittance Advice Basic Guides Electronic Remittance Advice (ERA) is the electronic version of the Standard Paper Remit (SPR), which serves as a notice of payment and adjustments sent to providers, billers and suppliers. It explains the reimbursement decisions of the payer. The Electronic Remittance Advice provides the same information as a paper advice, and, … Read More →
Noridian EDI Claims Submission General Information Noridian EDI Claims Submission is the best way to reach effectiveness for thousands of submitters across multiple lines of business. Electronic Data Interchange (EDI) provides the ability to quickly and efficiently exchange healthcare information (including Noridian EDI Claims Submission processing) in a safe, secure and cost effective way. Submitters wishing … Read More →
ICD-10 Coding – AHA Central Office Policy ICD-10 Coding (International Classification of Diseases) is the standard known as the 10th edition using Clinical Modifications (CM) and the Procedure Coding System (PCS). The final rule adopts ICD-10-CM for reporting patient diagnoses and ICD-10-PCS for reporting hospital inpatient procedures – both replaced ICD-9-CM. The use of ICD-10-CM and ICD-10-PCS … Read More →
EDI HIPAA UB-04 Claims Procedures (Security Health Plan) EDI HIPAA UB-04 Claims processing procedures: EDI HIPAA UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 76. Attending physician ID – The name and/NPI of the licensed physician who normally would be expected to certify and … Read More →