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Electronic Data Interchange (EDI)

News

Find the latest EDI news and information and stay informed about important updates, changes, and alerts.

Getting Started

Learn the basics about the electronic services available from First Coast Service Options Inc. (FCSO) including claims submission, remittance, status, and basic patient eligibility information.

Companion Documents

Find companion documents to help clarify your understanding of EDI standards established by HIPAA X12N implementation guides.

Direct Data Entry (DDE)

Learn how to use DDE to electronically key and send UB-04 claims; correct, adjust and cancel claims; inquire about patient eligibility; access the revenue code, HCPCS code, and ICD-9 code inquiry tables; and more.

Forms

Find the EDI forms you need to begin electronic submissions of claims as well as an electronic data request form to apply for or revise existing information pertaining to the Electronic Remittance Advice (ERA) and/or Electronic Claim Status (ECS) transactions.

Guide-to-Gateway (GTG)

Learn about the EDI Gateway and how it manages the exchange of electronic transactions with First Coast Service Options Inc.

HIPAA 4010A1 and 5010

Learn your responsibilities under the Health Insurance Portability and Accountability Act (HIPAA), how to safeguard the privacy and security of personal health information of your patients, and what transition to the HIPAA version 5010 means to you.

MREP

Download the latest version and find up-to-date information about Medicare Remit Easy Print (MREP). This free software will enable you to view and print Part B electronic remittance advice information (including special reports) in a similar format to Standard Paper Remittances (SPRs).

PC-ACE Pro32

Find out how to download and utilize the free PC-ACE Pro32 software program to submit your claims electronically.

PC-Print

Download the latest version and find up-to-date information about PC-Print. This free software will enable you to view and print Part A electronic remittance advice information (including special reports) in a similar format to Standard Paper Remittances (SPRs).

Prepass Edits

Find a complete listing of prepass edits and update notices and learn how to electronically retrieve a batch detail control listing (error reports/prepass edits) from your Gateway mailbox to determine which claims were received, accepted, and deleted by Medicare.

Reload Request

Submit your request for a reload of electronic remits, acknowledgements, or reject reports online.

Remittance advice

Find comprehensive listings of claim adjustment reason codes (CARCs) and remittance advice remark codes (RARCs) and learn helpful tips about understanding remittance advice.

Resources

Find links to additional EDI resources and information on the CMS Web sites.