Electronic Batch Billing For Claims (ANSI X12 837)

• Benefits of Electronic Medicare Claims
  • Quicker Payment - The payment floor for a clean electronic claim is 14 days versus 28 days on clean paper claims.
  • Accuracy - Electronic billing requires claims edits, which ensures that claims are submitted with fewer billing errors. This results in a faster payment to providers.
  • Tracking Capabilities - Confirmation reports and functional acknowledgements provide verification that your file(s) has been received.
  • Regulatory compliance - Meets the HIPAA (Health Insurance Portability and Accountability
    Act) and ASCA (Administrative Simplification Compliance Act) requirements for Medicare
    electronic claims.
    
• How Do I Begin Submitting My Claims Electronically?
  • Software Clearinghouse/Vendor List (includes HIPAA approved facilities)-last modified 03/25/07
  • PC-ACE PRO32 Free batch billing software
    • What is the enrollment process for PC-ACE PRO32? Please contact EDI Services at (414) 459-5999 Option 3
    • Contact Systems Design, Inc. to discuss PC-ACE options
• SmartTransfer Enrollment Process
  • What is SmartTransfer?
    SmartTransfer is the NGS' EDI translator. Providers, vendors and clearinghouses can utilize SmartTransfer to submit batch claims. In addition, SmartTransfer functions as a mailbox system for downloading electronic remittance advices and accessing EDI reports.
  • EDI Enrollment Form
  • Providers- Complete a Provider-SmartTransfer Information Sheet
  • Clearinghouses- Complete a Clearinghouse-SmartTransfer Sheet
    
• What Is The Testing Process For Claims?
• Smart Transfer Guide for NGS
• The NGS Companion Document For The ANSI X12 837 Institutional Claims
• Edit Documentation for Claims (837v4010A1) - last modified 02/15/08