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About Electronic Data Interchange (EDI)

Electronic Data Interchange (EDI) is the process of transmitting Medicare claims by electronic means through an approved Network Service Vendor. Healthcare providers and suppliers apply to NHIC Corp. EDI, to receive a submitter ID number and a password. Once enrolled in EDI, providers can bill directly to Medicare, using their own billing software, or allow a billing agency, clearinghouse, or vendor to send electronic claims on their behalf..

Benefits of EDI

• Improved cash flow – claims settle up to 50% faster
• 24-Hour claim transmission – send claims to Medicare 24 hours a day, 7 days a week
• Transmission security – a submitter ID and password are required to send claims
• Electronic Remittance Advice (ERA) option – no paper EOMBs to misplace or store
• Improved claim control –  find and correct errors for immediate resubmission
• Reduced office costs – save time and storage space
• ANSI X12 5010A1 standardized industry format – Centers for Medicare & Medicaid (CMS), mandated standard for EDI transmission 

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EDI Applications

Submit to NHIC J14 MAC.

Applications can be faxed to the following number:

Fax number: 781-741-3523

Applications may also be mailed to:

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EDI Vendors

EDI Directory of Software Vendors, Billing Services & Clearinghouses for ME, MA, NH, RI, and VT, Including Vendors Servicing J14 RHHI

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Network Service Vendors:

Basic EDI Transmission and Acceptance Schedule- Please note the NHIC Holiday Schedule listed on the "Home" page under: About NHIC http://www.medicarenhic.com/about/about.shtml

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Support Staff

Call (877) 386-1056   Monday through Friday 8:00 AM - 4:00 PM

Contact EDI Support Staff with any questions you may have regarding electronic claims transmissions, Error Summary Reports, Electronic Remittance Advice, Carrier Assigned Bulletin Board Systems (CABBS), on-line validation reports, EDI Enrollment changes,  or new EDI enrollment.

All new electronic submitters and electronic submitters changing software vendors must transmit test claims successfully to NHIC before being allowed to transmit production claims. EDI Support will guide you through the testing process and ensure a successful transition to electronic billing.

EDI Support also provides advanced technical support to software vendors and other organizations seeking to implement new EDI transactions. If you need help downloading files, have questions about the Medicare NHIC Website, or would like to learn to use CABBS Electronic Mail, EDI Support is available to help you.

Call or Write:

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05/02/2013