EDI: Will you reject claims with a P.O. Box in the billing provider address?

EDI: How do I restore a remit file?

EDI: How long are Electronic Remittance Advices (ERAs) available in my mailbox?

EDI: What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance?

EDI: I received a payer acknowledgement/acceptance report from my clearinghouse. Does this mean you accepted my claims?

EDI: After I receive a 277CA will I receive anything else?

EDI: Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description?

EDI: What provider address should I include on the EDI enrollment forms?

EDI: When is a provider authorization form required?

EDI: I received my application back with errors on my Provider Authorization Form. Can I correct it or will I have to complete an entirely new application and authorization form?

EDI: I am receiving the following Claim Status Code and EIC code on my 277CA. What do these codes mean?

EDI: What is an Approved Entity?

EDI: I am receiving the following CSC and EIC code on my 277CA. How do I make the correction?

EDI: I am missing an Electronic Remittance Advice (ERA). How do I order a duplicate?

EDI: What is a Network Service Vendor (NSV)?

EDI: What Entity Name should I enter on the EDI Enrollment Agreement form?

REMITTANCE: How long will I receive paper remittances once I sign up for the electronic remittance advice?

REMITTANCE: Do I need special computer software to use the electronic remittance advice?

REMITTANCE: If I have a computer problem while trying to download my electronic remittance advice, can I have it reposted to download again?

REMITTANCE: Can I post the electronic remittance advice information into my accounts receivable system?

MEDICAL REVIEW: How do I request an appeal on a claim reviewed by the Medical Review Department?

MEDICAL REVIEW: How can I use NGSConnex to respond to Medical Review additional documentation requests?

MEDICAL REVIEW: What mailing address does NGS use to send Medical Review additional documentation requests (ADRs) to providers?

MEDICAL REVIEW: We are a large group and could potentially have many providers on TPE review. We have difficulty managing the process for each provider. Does NGS have any guidance for large groups?

MEDICAL REVIEW: The Medical Review Department did a post payment review of my Medicare claim and it was denied. How do I pay the money back to NGS Medicare?

MEDICAL REVIEW: Why did I receive a Comparative Billing Report?

MEDICAL REVIEW: I am under TPE review and my claims were denied, who can I speak to about this?

Institutional Providers: Revised CMS-855A Version (09/24) Medicare Enrollment Application

Institutional Providers: Revised CMS-855A Version (09/24) Medicare Enrollment Application  Available now is the revised CMS-855A (09/24) paper application that includes a section for SNF to comply with the 2023 Final rule in reporting [...]

MODIFIERS: When do I need to append the 99 modifier?

MODIFIERS: When should the QW modifier be appended?

MODIFIERS: When is modifier 50 used?

MODIFIERS: When is it appropriate to append the AQ modifier?

MODIFIERS: When should modifier 51 be added to a claim?

What are the administration codes for the pneumococcal vaccine?

Is an order required to administer the pneumococcal vaccine?

Can a mass immunizer combine pneumococcal with other vaccines on one roster bill?

What are the allowance limits for the cost of the pneumococcal vaccine?

If I administer two different vaccinations during the same visit, e.g., influenza and pneumococcal, can I bill for two separate administrations?

Does Medicare pay for counseling and education of the pneumococcal vaccine?

Is the pneumococcal vaccine subject to coinsurance and deductible?