Highmark Medicare Services - A CMS Contractor - ISO 9001:2000 Certified

Medicare Part B
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Electronic Mailing Lists

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Welcome to our EDI Technical Support page. You may find answers to some of your questions here.

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CODE LISTS


DESCRIPTIONFORMAT
Remittance Advice Remark Codes and Claim Adjustment Reason Codes
Information about the remittance codes that appear on the Electronic Remittance Advice (ERA) and the Standard Paper Remittance (SPR) as well as a hyperlink to a website that houses an entire, current list of these codes.
HTML
CMS Specialty Code to Provider Taxonomy Code CrosswalkPDF
(off-site)

EDI REPORTS

DESCRIPTIONFORMAT
EDI File Name DescriptionsHTML
HIPAA! New! 
MCS Edit Report "Roadmap"
A sample report with field descriptions. This sample report became effective for electronic claims submitted after 4PM on December 17, 2004 in X12N 837 version 4010 and 4010.A1.
PDF
(126k)

Medicare Claims Express (MCE) Software Help

DESCRIPTIONFORMAT
MCE 3.2.2 User Guide
MCE customers can use this guide to assist with software setup, claim entry, workday wrapup and sending EDI files.
PDF
(1824k)
MCE 3.2.2 Problem and Solution Guide
MCE customers can use this manual to troubleshoot basic errors (in the newest HIPAA version of MCE).
PDF
(48k)
MCE 3.2.2 Daily Activities
MCE customers can use this document as a daily checklist when using MCE 3.2 to submit electronic claims.
PDF
(52k)

TESTING TIPS

DESCRIPTIONFORMAT
Common Medicare Submitter Claim Testing Problems (Developed by CMS)PDF
(11k)
Required Data Elements Not Currently on the UB-92 or HCFA 1500 FormsPDF
(31k)
Vendor Checklist for X12N 837 4010/4010.A1PDF
(126k)
X12N 835 4010.A1 Testing TipsPDF
(23k)

USER GUIDES 

DESCRIPTIONFORMAT
X12N Transaction User Guide - Part A and B PDF
Hyper Terminal Tips 
(Although we do support connectivity or Hyper Terminal, here are some tips that may be helpful when connecting via Hyper Terminal)
PDF

EDI TERMINOLOGY

 
DESCRIPTIONFORMAT
EDI Terminology
This chart will give you the terminology and the jargon that is used when talking about EDI
HTML
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