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)
National Government Services Medicare Part B batch claim status inquiry must be submitted and received using the HIPAA compliant ANSI 4010A1 X12N 276/277 transaction. This implementation guide is available at the Washington Publishing Company web site: www.wpc-edi.com
- 276/277 Companion Document
Companion Document to the HIPAA ANSI X12N 276/277 implementation guide. Used for clarification purposes.
Electronic Remittance Advice (835)
National Government Services Medicare Part B remittances are sent using the HIPAA compliant ANSI 4010A1 X12N 835 transaction. This implementation guide is available at the Washington Publishing Company web site: www.wpc-edi.com
- 835 Companion Document
Companion Document to the HIPAA ANSI X12N 835 implementation guide. Used for clarification purposes.
- 835 Trading Partner Agreement (TPA)
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 B 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
Communications
- MedAComm
Communication software available to download electronic Front-End reports and ERAs from National Government Services.
- Technical Reference Manual
Technical Reference Guide for communications through the Wellpoint Enterprise Gateway for National Government Services EDI.
- 1500 Crosswalk
Technical Reference Guide for guidance on crosswalking
information found on the 1500 Claims form to the correct ANSI 4010A1 X12N electronic fields.
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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