Eligibility Benefit
Inquiry and Response (270/271)
The 270/271 transactions are handled through CMS.
For more information, click here
Claim Status Request and Response (276/277)
Medicare Part A batch claim status inquiry must be
submitted and received using the HIPAA compliant ANSI
4010A1 X12N 276/277 transaction.
Companion Document to the HIPAA ANSI X12N 276/277
implementation guide. Used for clarification purposes.
Provides information to the Trading Partner that will
simplify implementation and provide a successful transition.
Use for clarification purposes.
Electronic Remittance Advice (835)
Medicare Part A electronic remittances are sent using
the HIPAA compliant ANSI 4010A1 X12N 835 transaction.
Companion Document to the HIPAA ANSI X12N 835 implementation
guide. Used for clarification purposes.
Provides information to the Trading Partner that will
simplify implementation and provide a successful transition.
Use for clarification purposes.
Inbound Claims (837)
National Government Services Medicare Part A claims must be
submitted using the HIPAA compliant ANSI 4010A1 X12N 837 transaction. This implementation guide is available at the
Washington Publishing Company Web site:
www.wpc-edi.com
The 837 Companion Document and the 837 Institutional Edit Document is used for clarification purposes only.
Provides information to the Trading Partner that will
simplify implementation and provide a successful transition.
Use for clarification purposes.
Communications
File Transfer Protocol (FTP) for Windows 95, 98, 2000,
NT or Windows XP Dial-up Networking.
Setup instructions for Zmodem Protocol for Windows
95, 98, 2000, NT or Windows XP Dial-up Networking.
Setup instructions for Kermit Protocol for Windows
95, 98, 2000, NT or Windows XP Dial-up Networking.
Communication software available to download electronic
Front-End reports and ERAs from National Government
Services.
Communication software. It can provide dial-in and
internet provider network file transfer functions.
Technical Reference Guide for communications through
the Wellpoint Enterprise Gateway for National Government
Services EDI.
Network Service Vendors
National Government Services allows select network
service vendors to provide an alternative method of
communication to electronic data interchange (EDI) services.
The network service vendors available to all National
Government Services providers are ECC, IVANS, Nebo Systems,
and VisionShare.
These vendors offer services and benefits that include
connections for submission and receipt of Health Insurance
Portability and Accountability Act (HIPAA) transactions
and access to Direct Data Entry (DDE) (for Medicare
Part A providers) and to the Professional Provider Telecommunication
Network (PPTN) (for Medicare Part B providers) and Claims
Status Inquiry ( CSI) (for DME suppliers). To receive
additional information on the services provided from
these network service vendors and pricing structures,
please use the contact information provided below.
ECC Technologies
Web site: www.ecctec.com
Customer Service: 585-377-1850
IVANS
Web site: www.ivans.com
Customer Service: 800-548-2675
Nebo Systems, Inc.
Web site: www.nebo.com
Customer Service: 630-916-8818 extension 261
VisionShare
Web site: www.visionshareinc.com
Customer Service: 612-460-4327
Page last modified: 10/31/2008
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