Coordination of Benefits

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

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 →

EDI Training Schedule

EDI Training Schedule 2019: San Diego Workshops And Webinars EDI Academy is proud to announce the EDI Training Schedule for the summer of 2019. Let us know if you are interested in registering for these classes (email info@ediacademy.com). All Industries – EDI Fundamentals & Best Practices – San Diego Workshops 2019: September 17-18 Health Care (HIPAA) EDI Fundamentals & Best Practices – San Diego Read More →

Alabama Medicaid HIPAA EDI

Getting Started With Alabama Medicaid HIPAA EDI Transactions Seventy-Five Million Americans (23%) have Medicaid Insurance. Medicaid is a government insurance program for low-income and disabled individuals. Medicaid Agencies use Electronic Data interchange (EDI) technology for these transactions. Alabama is one of the Medicaid agencies using EDI. Alabama uses standard HIPAA EDI Transactions which are listed Read More →

WPS EDI

WPS EDI Express Enrollment Electronic Funds Transfer Guides WPS EDI Express Enrollment is a comprehensive and secure website for providers to enroll in Electronic Funds Transfers. The Multi Factor Authentication is an additional form of security to safe guard your information. User Checklist User Checklist Be prepared with the following information before proceeding with the Read More →

EDI overview

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 →

EmblemHealth Electronic Claims

EmblemHealth Electronic Claims (EDI Transactions) Requirements EmblemHealth Electronic Claims help practitioners manage their practices more effectively. EmblemHealth supports HIPAA-compliant electronic data interchange transactions. Electronic claims submission provides an easier, faster way to submit claims. Some of the advantages of electronic claim submission includes: Quicker claims submission, which means faster reimbursement to you. No paper claims to Read More →

Health Homes HIPAA Billing

Health Homes HIPAA Billing Enrollement Guidelines (EmblemHealth) Health Homes HIPAA Billing Enrollement provides receiving direct deposits to your bank account(s) with electronic remittance advice (ERA) through electronic funds transfers (EFT). The registration process is simple, secure, and takes just moments to complete: Step 1: Have available a recent EmblemHealth Explanation of Benefits (EOB) and, either a voided check, or Read More →

Health Homes Billing

Health Homes Billing – Claims Submission Guidelines (EmblemHealth) Health Homes Billing is released using electronic formats. Pursuant to the Health Insurance Portability and Accountability Act (HIPAA), Public Law 104-191, institutional providers who submit claims electronically are required to use the HIPAA 837 Institutional (837i) transaction. This is the preferred method of claims transmission. 837 transactions Read More →

EmblemHealth PNC Remittance

EmblemHealth PNC Remittance Advantage (No Cost EFT-ERA Program) EmblemHealth PNC Remittance Advantage program offers paperless claim payments and electronic remittances free of charge. EmblemHealth urges you to take advantage of this program. Electronic transactions are fast, convenient and lower the risk of lost or stolen payments. You will benefit from increased payment-processing efficiencies, cost reductions and Read More →