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EDI E-mail Inquiry Form

CMS does not allow National Government Services to accept PHI or PII via e-mail. Please do not include any PHI/PII. The EDI Support Services team does not need this information to assist with 5010, 999, 277CA, and other EDI-related issues. Please make sure to provide file names, dates, and a description of the problem.

* Required Field. Please complete all required fields.

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Once you submit your completed form, you should receive an automated acknowledgement stating your email inquiry has been received by EDI.

  • Response time for email inquiries is within three business days of receipt.
  • Please make sure you include file names, dates, and a description of the problem to avoid a delay in response time.

Please do not complete this email inquiry form if an EDI Help Desk ticket number has been assigned to your inquiry through a telephone contact. This will duplicate the efforts of our EDI staff and may cause our response time to be longer than stated above.

 

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