Insurance News
Change Healthcare and POMCO Claims
On December 17, 2015, POMCO released a bulletin stating they would no longer accept claims from Emdeon/Change Healthcare as of March 1, 2016.
Read MoreHighmark Senior Health Claims
Effective January 1, 2015, Medicare Advantage Plans moved to a new subsidiary called Highmark Senior Health Company. Providers who submit these claims can no longer submit these claims under 54771 and their PABS_P5. They must submit their claims via Emdeon.
Read MorePractice Manager’s Response Viewer Program
** NEW FEATURE AVAILABLE AUGUST 5, 2014 ** Automatically Separates and Renames Each ERA File Overview When your office selects the UPDATE button located in Practice Manager’s Insurance Billing screen, as of August 5, 2014 the updated Response Viewer program will be installed. It is important to select the UPDATE button for all workstations that…
Read MorePalmetto GBA Medicare (Railroad Medicare, North Carolina, South Carolina, Virginia, & West Virginia)
Railroad Medicare Enrollment Form Palmetto GBA Medicare (Jurisdiction 11) has announced that as of June 1, 2014 they will no longer support dial-up connections to send and receive electronic Medicare claims files and retrieve reports and ERA files. Palmetto GBA Medicare includes Railroad Medicare, North Carolina, South Carolina, Virginia and West Virginia. Note: If you…
Read MoreAttention Providers Submitting Palmetto GBA Medicare Electronic Claims (Railroad Medicare, North Carolina, South Carolina, Virginia and West Virginia)
Railroad Medicare – DIAL-UP Termination as of June 1, 2014 If you connect to Palmetto GBA EDI for Medicare using dial-up modem, it is imperative that you give attention to the following information.
Read MoreWashington Delays ICD-10
On April 1, 2014, President Obama signed into law, Bill HR4302, which among other things delays ICD-10 implementation until October 1, 2015.
Read MoreMigration from Emdeon to IBC Claim Submission
Once your office has enrolled for a new Trading Partner Number from Highmark EDI – IBC, the following must be done to continue the migration for IBC claim submission:
Read MoreICD-10 delay becomes a reality
4/2/2014: The bill that would delay ICD-10 for, minimally, one year was signed into law. ICD-10 cannot be implemented by CMS until sometime on or after October 1, 2015. Mixed opinions are sure to follow as a new start date has not been established.
Read MoreNew Paper Billing – is yours printing correctly?
Print out your hcfa – check the paper. Three items to notice: 1. If an X is printing in box #8, you are still on the old format (and claims after April 1st WILL NOT be paid even if on the new paper itself) – please follow instructions to convert to the new format.
Read MoreMigration from Emdeon to IBC claim submission – IBC Enrollment Instructions
Click the following link to download instructions for enrolling with IBC: Independence Blue Cross EDI Enrollment.
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