What does EDI mean on insurance card?
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.
What is EDI in Medicaid?
EDI is the automated transfer of data in a specific format following specific data content rules between a health care provider and Medicare, or between Medicare and another health care plan.
How is EDI used in healthcare?
Healthcare EDI provides secure electronic data interchange between healthcare institutions, care providers, and patients, and allows for more secure and efficient data processing, including healthcare claims processing.
What is EDI payment?
What is an EDI payment? An EDI (electronic data interchange) service gives businesses a standard format for exchanging payment information from computer to computer.
What EDI means?
Electronic Data Interchange
Electronic Data Interchange (EDI) is the electronic interchange of business information using a standardized format; a process which allows one company to send information to another company electronically rather than with paper. Business entities conducting business electronically are called trading partners.
Does MassHealth reimburse?
The MassHealth Premium Assistance program reimburses eligible MassHealth members for some or all the premium cost of eligible private insurance.
What are the EDI specifications for MassHealth?
The EDI specifications for MassHealth electronic claims are based on the following documents: An Implementation Guide is provided for each transaction. It is accompanied by a MassHealth Companion Guide and the appropriate billing instructions to guide providers on the submission of transactions to MassHealth.
What does EDI stand for in medical category?
Learn about the Electronic Data Interchange (EDI). What is EDI? EDI stands for Electronic Data Interchange, a process that facilitates the exchange of electronic files. The term EDI is the industry standard terminology for electronic transactions. Where can I get the EDI specifications for my MassHealth electronic claims?
How does the MassHealth provider online service center work?
The Provider Online Service Center gives you the tools to effectively manage your business with MassHealth electronically. Use these services to enroll as a MassHealth provider, manage your profile information, and submit and retrieve transactions.
Who is the Medicaid provider for MassHealth 837?
Massachusetts Medicaid – Mass Health EDI Department Fax # 617-988-8971 or 617-988-8974 Provider/Group Name: NPI: MMIS Provider ID: To Whom It May Concern: This is to certify that the 837 Claimsfor the listed provider will be submitted electronically by eSolutions, Inc. (fka ClaimRemedi), Submitter/MMIS Provider Number 110076618A.