EDI

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A step-by-step guide to getting started submitting electronic claims for third party entities

The following information outlines procedures related to getting started with EDI along with additional electronic features available to billing services, clearinghouses, and third-party vendors.

Provider guidelines for choosing a vendor

Before selecting a vendor, the provider must examine its business needs to identify the EDI, practice management, or other services that the provider is interested in obtaining from a vendor.

Tools & forms: EDI / SPOT

Use these self-service tools and forms related to EDI and SPOT.

Health care payment and remittance advice

Article includes flow of the remittance advice and links to the claims adjustment reason codes and the remittance advice remark codes.

Multifactor authentication and SPOT registration

Information on MFA and instructions to register MFA devices.

Tools & forms: EDI / SPOT

Use these self-service tools and forms related to EDI and SPOT.

Health care payment and remittance advice

Article includes flow of the remittance advice and links to the claims adjustment reason codes and the remittance advice remark codes.

Multifactor authentication and SPOT registration

Information on MFA and instructions to register MFA devices.

Instructions for completing the Direct Data Entry (DDE) User ID Request Access form

These instructions will assist you in completing the Direct Data Entry (DDE) User ID Request Access form.

IDM: SPOT access/password help and access issues

Where to find help needed to access SPOT, including instructions if you forget your user ID or password and how to reset your password.