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This Companion Guide provides BCBSNC Blue Medicare trading partners with guidelines for submitting electronic batch (X12) transactions for Medicare Advantage products.
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How to fill out medicare advantage companion guide
How to fill out Medicare Advantage Companion Guide to X12 Transactions
01
Obtain the Medicare Advantage Companion Guide from the official website or your health plan provider.
02
Review the introduction section to understand the purpose of the guide.
03
Familiarize yourself with the X12 transaction sets relevant to Medicare Advantage, such as 834, 835, and 837.
04
Follow the guide's step-by-step instructions for each transaction type, ensuring you understand the required fields.
05
Fill out the necessary information for each user-friendly template provided in the guide.
06
Validate your submissions using any included checklists or error correction sections.
07
Save your completed transactions and submit them according to your health plan's specified submission methods.
Who needs Medicare Advantage Companion Guide to X12 Transactions?
01
Healthcare providers offering Medicare Advantage plans.
02
Billing staff and health information management professionals.
03
Claim processors and administrators involved in Medicare transactions.
04
Insurance companies that need to adhere to Medicare standards.
05
Organizations requiring compliance with X12 transaction standards for billing and reporting.
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People Also Ask about
What is an EDI trading partner?
An EDI trading partner refers to a business trading partner with whom you trade goods using electronic communication. Most supply chain companies will have a large network of trading partners and primarily communicate and trade using EDI standards.
What is an EDI companion guide?
Our Electronic Data Interchange (EDI) Companion Guides describe specific requirements for trading partners who exchange electronic transactions directly with Blue Shield of California or Blue Shield of California Promise Health Plan.
What is an EDI person?
Equality, diversity and inclusion officers work to reduce workplace discrimination, champion equal access to services, and encourage inclusive attitudes. As an equality, diversity and inclusion (EDI) officer, you'll promote good relations and practices towards different minority groups.
What is a companion guide?
Companion Guide – Document that contains specific electronic data interchange (EDI) instructions required by the receiving payer(s) for use of code values and/or situational segments.
What is X12 278?
The ANSI X12 EDI standards include three versions of the 278 transaction set. Of these, the Health Care Services Review and Response document was chosen by HIPAA as the standard format for EDI transmission of authorizations and referrals.
What is an EDI relationship?
EDI is the electronic exchange of business documents between trading partners. Instead of using traditional methods such as paper, fax, and e-mail, EDI allows for the secure, automated exchange of vital information – such as purchase orders (PO) and invoices – between businesses.
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What is Medicare Advantage Companion Guide to X12 Transactions?
The Medicare Advantage Companion Guide to X12 Transactions is a document that provides specific instructions and information to assist healthcare providers in submitting electronic claims and transactions to Medicare Advantage plans in accordance with the X12 EDI format.
Who is required to file Medicare Advantage Companion Guide to X12 Transactions?
Healthcare providers, billing agencies, and organizations that submit electronic claims or other related transactions to Medicare Advantage plans are required to follow the guidelines outlined in the Medicare Advantage Companion Guide to X12 Transactions.
How to fill out Medicare Advantage Companion Guide to X12 Transactions?
To fill out the Medicare Advantage Companion Guide to X12 Transactions, providers must follow the format and requirements specified in the guide, which includes sections for transaction types, necessary fields, and guidelines for data entry to ensure compliance with Medicare Advantage plans.
What is the purpose of Medicare Advantage Companion Guide to X12 Transactions?
The purpose of the Medicare Advantage Companion Guide to X12 Transactions is to outline the specific requirements and formats necessary for electronic claims submission, ensuring consistency and accuracy in the data exchanged between providers and Medicare Advantage plans.
What information must be reported on Medicare Advantage Companion Guide to X12 Transactions?
The information that must be reported includes patient demographics, service dates, procedure codes, billing provider details, and claim adjustment information, as specified in the companion guide for the respective X12 transaction.
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