Professional Claim Form

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 →

EDI ICD-10

EDI ICD-10 Implementation Guidelines For Security Health Plan Providers EDI ICD-10 code sets are used to report medical diagnoses and inpatient procedures. In 2015 EDI ICD-10 replaced ICD-9. Use of EDI ICD-10 versus ICD-9 on claims is based on dates of service—not on dates that claims are submitted. For dates of service on or after October 1, 2015, providers Read More →