Find information regarding the appeals process, including reopenings, and overpayments. Learn how to appeal Medicare coverage and payment decisions and check status on existing appeals.
Find the latest Electronic Data Interchange (EDI) news, software updates, forms, and companion documents and learn how to begin submitting your claims electronically.
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with tips. October 2025 release details include changes to the inquiry menu. Review the change summary chart at the end…
Effective May 11, CMS requires that providers using a third-party vendor to conduct their beneficiary eligibility transactions must attest to their relationship via the HIPAA Eligibility Transaction System (HETS) EDI Enrollment Tool. Follow…