Electronic Media Claims

EDI Forms

EDI Manuals

Directory of HIPAA Compliant
Electronic Billing Vendors

CMS Approved Connectivity Vendors

Electronic Remittance Tools

EDI Fact Sheets

EDI Job Aids

EMC Quarterly Newsletter Index

HIPAA


	DDE Online Security Request
	EDI Transaction Setup Request

Form #	Form Name	Form Description
EDI-110A	CMS Standard EDI Enrollment	The Centers for Medicare & Medicaid Services (CMS) Standard Electronic Data Interchange (EDI) Enrollment must be completed by the Medicare provider prior to conducting any Electronic Data Interchange (EDI) activity.
EDI-210A	Provider Authorization	Provider Authorization must be completed by the provider if a third party entity will conduct EDI activity on behalf of the provider. The form must be copied to the provider's letterhead, completed, signed and dated by authorized provider staff. Instructions for Completion
EDI-510A	MOBS Request	A Medicare Offline Billing Software (MOBS) Request must be completed to obtain the low-cost HIPAA-compliant claims entry software. MOBS is a windows based claims entry product that allows claims to be entered into a batch then transmitted to Medicare in an offline production environment. Instructions for Completion
EDI-511A	MOBS License Agreement	The Medicare Offline Billing Software (MOBS) License Agreement must be completed and submitted along with the MOBS Request (EDI-510A). Instructions for Completion

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Medicare Offline Billing Software Manual (MOBS Manual)

EDI Reference Guide

CWF HIQA Manual

Electronic Remittance Tools

PC Print Translation Software (download executable file)

Understanding the Remittance Advice

EDI Fact Sheets

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EDI Job Aids

DDE Signon

DDE Online Manual

FISS - Function Keys and System Menus

Correcting/Responding to ADRs

Adjusting Paid Claims (PB9997) Online

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EMC Quarterly Newsletter Index

Volume/Issue Number/Date	What’s inside . . .
Volume 15 * Number 3 * November 2007	10 Facts About the UB-04 EDI Security Reminders Inappropriate Access To Or Use Of EDI Transaction Data By Third Party Entities Institutional Value Code Changes Medicare FFS NPI Final Implementation New EDI Reference Guide Post-EDC Transition Questions & Answers Summary Of Key Medicare Dates For NPI
Volume 15 * Number 2* September 2007	CDS Password Guidelines and User Reset Capability EDC Transition Dark Days EDC Transition Questions and Answers EDS Password Guidelines and User Reset Capability New Contractor Number for TriSpan Missouri Part A Workload New DDE Online Requirements New EDI Data Requirements New EDI Reference Guide TriSpan Transitions to 2 EDCs
Volume 15 * Number 1 * January 2007	Acronyms and Abbreviations Consider the Benefits of the ERA DDE Online Screen Changes EDI Resources Available on www.trispan.com Free / Low Cost Alternatives to Billing Paper Claims NPI: Get It. Share It. Use It. Reporting Taxonomy Codes Returning Claims Received From Clearinghouses Top 10 Billing & Segment Errors
Volume 14 * Number 1 * April 2006	Acronyms and Abbreviations Changes to Retention Period for Claims in Status/Location TB9997 EDI Enrollment and Security Requirements EMC Help Desk Name Change Medicare ERA Initiative Part D Resources for Health Care Professionals
Volume 13* Number 1* April 2005	Comprehensive Error Rate Testing (CERT) – Questions and Answers CWF/HIQA Manual Free / Low Cost Alternatives to Billing Paper Claims Mandatory Submission of Electronic Claims Standard Paper Remittance (SPR) Advice Changes – Effective July 1, 2005
Volume 12* Number 2* December 2004	ASC 276/277 Claim Status/Status Category Code Update Elimination of the SPR in the Old Format Free / Low Cost Billing Software – October 2004 Revision Guidance for Part A Providers Switching to the ERA HIPAA 837I IG Updates – Effective January 3, 2005 Inappropriate Access to or Use of EDI Transaction Data by Third Party Entities IRF PPS Claims – Use of Transmission Date in the Service Date Field Medicare EDI Enrollment Requirements
Volume 12* Number 1* April 2004	Free/Low Cost Alternatives to Billing Paper Claims HIPAA 837I – Additional Front-end Editing HIPAA 837I IG Editing HIPAA Electronic Transactions – Batch ID Requirements Mandatory Submission of Electronic Claims Medicare EDI Enrollment Requirements Modification of CMS’ Medicare Contingency Plan for HIPAA Updates to the CMS 1450 Part A Claim Form
Volume 11* Number 1* July 2003	HIPAA – A Different View HIPAA – Free CMS Training and Fax Back Service HIPAA – Information Series HIPAA – Privacy Rule Business Associate Provision HIPAA Resources Remittance Advice Remark and Reason Code Update Scheduling and Conducting HIPAA EDI Submitter Testing
Volume 10* Number 3* October 2002	CPT / ICD9 Code Validation via the DDE Online System HIPAA – 837I Intermediary Decimal Edits HIPAA – Compliance Extension HIPAA – Key Dates HIPAA – Penalties for Non-Compliance HIPAA Resources Options Available for Beneficiary Eligibility Verification Scheduling and Conducting HIPAA EDI Submitter Testing The History of HIPAA
Volume 10* Number 2* April 2002	DDE System Access EMC Line Availability HIPAA – Frequently Asked Questions HIPAA – Revised Timelines New EDI Submitter – Defined
Volume 10* Number 1* January 2002	Credit Balance Reporting Deadline Provider Information Resources Available on CMS Website Scheduling and Conducting HIPAA EDI Submitter Testing System Security and Password Rules Top 10 Provider Claim Submission Errors
Volume 9* Number 1* August 2001	CMS Internet Security Policy HCFA Name Change to CMS HIPAA Health Care Claim and COB
Volume 8* Number 3* December 2000	DDE Instructional Manual Available Online EMC Bisync to Async Communications Transition ERA V3051.4A – Deductibles, Coinsurance, and Contractual Adjustments NSF UB-92 V5.0 No Longer Supported After December 31, 2000 Obtaining Weekly Check Amounts via the DDE Online System Provider Education and Training The Hype About HIPAA Timely Completion of Ambulance ADRs TriSpan Announces Toll-Free Telephone Service
Volume 8* Number 2* April 2000	Access to Eligibility Data by Eligibility Verification Vendors Claims Expansion and Line Item Processing (CELIP) DDE Sign-on / Sign-off Procedures ERA – Line Item Activity
Volume 8* Number 1* January 2000	Access to Eligibility Data by Eligibility Verification Vendors ANSI Reason Codes Available via the DDE Online System BEST Data File Discontinued EMC Confirmation Reports Revised EMC Web Page Expand Screen Size Using Passport Software Trigon User Accountability Acknowledgement Form Discontinued TriSpan Website
Volume 7* Number 2* October 1999	Adoption of Standard Electronic Health Care Transaction Formats HIPAA Administrative Simplification TriSpan Move to a New Data Center

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Companion Documents

HIPAA Frequently Asked Questions (FAQs)

HIPAA Resources

Implementation Guides

Provider Taxonomy Codes

Remittance Advice Remark Codes

Claim Adjustment Reason Codes

276-277 Claim Status Codes

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