Medicare EDI

Electronic Funds Transfer Transaction Provider Requirements Electronic Funds Transfer transaction is the required method of Medicare payment for all providers entering the Medicare program for the first time and for existing providers that are submitting a change to their existing enrollment data but are not currently receiving payments via Electronic Funds Transfer transaction. Once a provider Read More →

Electronic Funds Transfer Transaction

Electronic Funds Transfer Basic Requirements Electronic Funds Transfer (EFT) serves for Medicare to send payments directly to a provider’s financial institution whether claims are filed electronically or on paper. All Medicare providers may apply for EFT. Advantages of Electronic Funds Transfer  EFT is similar to other direct deposit operations such as paycheck deposits, and it offers Read More →

Coordination of Benefits

Coordination of Benefits HIPAA Basics Coordination of Benefits requirements and basic procedure descriptions subject to the rules of the X12 837 HIPAA Technical Reports Type 3 (TR3s) as the national standard for provider electronic submission of health care claims to payers such as Medicare. It also contains the requirements for electronic transfer of claims from Medicare to Read More →

Health Care Payment

Health Care Payment: Electronic Remit Advice and Standard Paper Remit Health Care Payment with Electronic Remit Advice (ERA) has a number of advantages over Standard Paper Remit (SPR). The amount payable for each line and/or claim as well as each adjustment applied to a line or claim can be automatically posted to accounting or billing applications from an Read More →