Articles

Reminder of periodic updates to the Claim Status and Claim Status Category Codes, which are used with the Health Care Claim Status Request (ASC X12N 276) and the Health Care Claim Response (ASC X12N 277). [MM6090]

To minimize the impacts to new Electronic Media Claim (EMC) customers, effective Monday, June 23, 2008, all new EMC customers must enroll directly with NGS.

Request a reload of electronic remits, acknowledgements, or reject reports online.

This brochure that is available for order or download, provides an overview of free software that enables physicians and suppliers to view and print remittance information. [PERL 200805-19]

Medicare is permitting the billing provider to use their own NPI in certain circumstances.

Effective May 23, 2008, all electronic claim status responses (ANSI X12 277) will use the HIPAA-mandated NPI exclusively for provider identification. [CR 5726]

MREP Version 2.4 is now available for download on the CMS Web site, and includes the latest version of the Claim Adjustment Reason Codes and Remittance Advice Remark Codes. [JSM 07001]

The HPTC is a national code set that allows medical providers to indicate their specialty. [CR 5951]

Starting October 15, 2007, warning edits will be returned to submitters who are not sending an NPI for primary provider identifiers. [JSM 08007]

Informational edits on the Batch Detail Control Listing will now cause rejections.

This formatting information is intended to provide you and your software IT staff with a reference point to provide the necessary MSP information for electronic claim filing in the ANSI X12N 004010X098A1 format.

EDI Security Related Requirements for Clearinghouses, Billing Agents, Network Service Vendors (NSV's) or Other Third Parties [Source: CMS CR 3875.130 & 132]