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PROVIDER BULLETIN No. 1525Date:August 14, 2015TO:All Providers Participating in the NE Medicaid Program All Medicaid EDI Trading PartnersFROM:Calder A. Lynch, Director Division of Medicaid & Longer
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All Medicaid EDI trading involves the electronic exchange of healthcare data between Medicaid programs, providers, and health plans.
Providers, health plans, and Medicaid programs are required to file all Medicaid EDI trading.
All Medicaid EDI trading can be filled out using electronic data interchange (EDI) software that is compliant with the Medicaid program requirements.
The purpose of all Medicaid EDI trading is to streamline the exchange of healthcare data, reduce paperwork, and improve efficiency in claims processing.
Information such as member eligibility, claims, remittances, and prior authorization requests must be reported on all Medicaid EDI trading.
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