EDI Overview and Enrollment Procedures For Optima Health Providers EDI overview and requirements are to be used with the HIPAA-AS Implementation Guide. Each EDI vendor will have to sign a Trading Partner Agreement, which includes the Network Access Agreement and the Business Associate Agreement. EDI overview: Business Use Each transaction set will be used to expedite the execution of electronic … Read More →
Coordination of Benefits (COB) Assistance By BCRC (Benefits Coordination & Recovery Center) Coordination of Benefits (COB) issues can be consolidated by BCRC (Benefits Coordination & Recovery Center) that will correct any possible issues on their end, or report to the contractor any issues that require action on the part of the contractor. The Contractor can verify whether Medicare claims … Read More →
Benefits Coordination & Recovery Center: Coordination of Benefits (COB) A Celerian Group Company Benefits Coordination & Recovery Center consolidates the activities that support the collection, management, and reporting of other insurance coverage for Medicare beneficiaries. The purposes of the Benefits Coordination & Recovery Center program are to identify the health benefits available to a Medicare beneficiary and … Read More →