EDI news

Monitoring eligibility request and response transactions

Modified: 8/25/2010

The Centers for Medicare & Medicaid Services (CMS) requires contractors to monitor the inquiry-to-claim ratio to ensure the ratio does not exceed 95 percent. Each quarter, contractors will compile a report that balances claims against inquires.

Claim adjustment reason code and remittance advice remark code update

Modified: 8/24/2010

This article announces the latest update of remittance advice remark codes (RARCs) and claim adjustment reason codes (CARCs), effective October 1, 2010. [MM7089]

Claim status category code and claim status code update

Modified: 7/23/2010

Code changes approved during the June 2010 meeting of the National Code Maintenance Committee will be implemented in the Medicare claim processing systems on October 4, 2010. [MM7052]

Using HyperTerminal to submit or retrieve your electronic files

Modified: 3/25/2010

Detailed instructions for submitting and receiving files electronically using HyperTerminal.

Selecting the appropriate EDI enrollment form to use

Modified: 3/25/2010

This introduction to EDI forms includes a detailed description of each form, an overview of the processing time required, and guidelines for status verification. You’ll also find convenient links to the EDI forms you need the most.

First Coast Service Options (FCSO) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.