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EDI resources

Modified: 3/1/2019
Electronic Data Interchange (EDI) Web page on containing information on EDI transaction and corresponding paper claims requirements.
Modified: 3/1/2019
This connectivity guide provides trading partners with instructions on how to successfully exchange electronic transactions with First Coast using the hypertext transfer protocol secure (HTTPS) Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules (CORE) compliant rules over the public internet.
Modified: 2/27/2019
This standard companion guide provides trading partner instructions related to transactions based on ASC X12 Implementation Guides, version 005010. [CR 7373]
Modified: 2/27/2019
Learn about the EDI Gateway and how it manages the exchange of electronic transactions with First Coast Service Options Inc.
Modified: 2/2/2019
A provider may submit a waiver request to their Medicare administrative contractor (MAC) claiming an “unusual circumstance” outside of their control prevents the submission of electronic claims. [CR 10559]
Modified: 1/31/2019
The HETS is intended to allow the release of eligibility data to Medicare providers, suppliers, or their authorized billing agents for the purpose of preparing an accurate Medicare claim, determining beneficiary liability or determining eligibility for specific services.
Modified: 1/11/2019
Tips to avoid rejection of your Medicare EDI enrollment form.
Avoid pitfalls when completing the EDI enrollment form. Submit your EDI enrollment form correct the first time and avoid processing delays.
Modified: 1/6/2019
The Administrative Simplification Compliance Act (ASCA) is a law that requires all initial claims reimbursed under Medicare be submitted electronically, with limited exceptions.
Modified: 1/6/2019
A comprehensive guide to interpreting the CTX segments within the ASC X12N 999 transaction
Modified: 12/30/2018
Here are key steps to take if you receive an ASCA enforcement review letter.
Modified: 11/8/2018
Health Insurance Portability and Accountability Act (HIPAA) related resources page on the Centers for Medicare & Medicaid Services (CMS) website.
Modified: 11/2/2018
If your transmissions are unsuccessful, your mailbox password may have expired. Use this form to check the expiration date of your current password.
Modified: 10/18/2018
Link to the Department of Health and Human Services' (DHHS) office for HIPAA privacy rule, which protects the privacy of individually identifiable health information.
Modified: 10/13/2018
These guides on the Centers for Medicare & Medicaid Services (CMS) website provide communication, connectivity, and transaction specific information to Medicare FFS trading partners and serve as the authoritative source for Medicare FFS-specific electronic data interchange (EDI) protocols. [CR 7373]
First Coast Service Options (First Coast) 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.