EDI Claim Data Errors: Common Mistakes In HFN Electronic Claims EDI Claim Data Errors must be avoided to avoid delays in being reimbursed by a Payor, submit Clean Claims in a timely manner. Once an improper claim has been corrected and resubmitted because it is complete, properly coded; and/or on the required form or in … Read More →
HFN Electronic Claims Submission EDI Procedures HFN Electronic Claims Submission supposes receiption of medical claims from the following clearinghouses: Emdeon (institutional/ professional), McKesson (professional), Payerpath (professional), Capario (professional), RealMed (professional), The SSI Group (institutional/professional), and SmartData (institutional/professional). HFN would like to facilitate providers’ HFN Electronic Claims Submission to accelerate payment and enhance cash flow to your … Read More →
HIPAA Contingency Basic Guidelines HIPAA Contingency plan was implemented by Medicare on October 16, 2003. HIPAA Contingency allowed providers and other electronic billers to temporarily continue to send pre-HIPAA electronic format claims, claim status requests, and beneficiary eligibility requests, and for CMS to continue temporarily sending remittance advice, claim status responses, beneficiary eligibility responses, and coordination … Read More →
Professional Claim Form Basics Professional Claim Form may be electronically submitted to a Medicare carrier, Durable Medical Equipment Medicare Administrative Contractor (DMEMAC), or A/B MAC from a provider’s office using a computer with software that meets electronic filing requirements as established by the HIPAA claim standard and by meeting CMS requirements contained in the provider enrollment & certification … Read More →