EDI news

HETS to replace CWF Medicare beneficiary health insurance eligibility queries

Modified: 4/25/2013

This article was revised April 23 to update certain language to reflect the current status of this change. Also, clarifications have been made to the last question in the "Frequently Asked Questions" section on page 3. [SE1249]

Claim status category and claim status codes update

Modified: 4/9/2013

This article explains that claim status category and claim status codes for use by Medicare contractors are updated three times per year at the national code maintenance committee meetings. [MM8265]

April 2013 ASC X12 837 (electronic healthcare claim) CMS edits implementation

Modified: 3/28/2013

New edits are being installed April 2013. This article outlines the new edits.

Automatic deactivation of inactive submitter numbers

Modified: 2/11/2013

First Coast Service Options’ (First Coast) electronic trading partners should be aware that if they have not submitted claims electronically for three months or longer, their submitter number will be considered inactive by Medicare and will be subject to deactivation for non-usage.

PWK is here

Modified: 11/20/2012

Effective October 1, 2012, First Coast Service Options Inc. (First Coast) implemented the PWK (paperwork) segment of the X12N version 5010. This allows for submission of supporting documentation with a version 5010 electronic claim. [CR 7330]

Issues completing the PWK fax/mail coversheet

Modified: 11/16/2012

First Coast's claims department and providers are being negatively impacted by a high volume of invalid or unnecessary PWK fax/mail coversheets. This article reviews information on how you can avoid these issues. [CR 7330]

Using HyperTerminal to submit or retrieve your electronic files

Modified: 11/13/2012

Updated instructions for submitting and receiving files electronically using HyperTerminal.