CMS Pub. 100-04, ch. 24, § 40.2.3.3

EDI

(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)

A/B MACs, DME MACs, and CEDI are required to post information on their provider

web page to educate and influence providers in all aspects of EDI. They must include the

following information at a minimum:

• Earlier payment of electronic claims that comply with HIPAA standards

requirements;

• The benefit of earlier detection of errors via edits conducted upon submission of

electronic transactions;

• The relative ease of use of EDI and the support available from the contractor to

assist them in beginning use of EDI transactions;

• Advantages of online correction of errors (A/B MAC (A) only);

• Lower administrative, postage, and handling costs;

• Electronic adjustments (A/B MAC (A) only);

• Availability of free software:

o PCACE Pro32 - Part A/B and DME;

o Medicare Remit Easy Print Software (MREP) - Part B and DME; and

o Medicare Standard Electronic PC Print Software (PC Print) - Part A/B.

o Availability of batch claims status inquiries. The information must be

updated on a regular basis.

Availability of batch claims status inquiries. The information must be updated on a

regular basis. A/B MACs, DME MACs, and CEDI are encouraged to issue these

materials via the Internet or E-Mail when possible, but paper copies may be distributed

where most cost effective or when a provider may not have Internet or E-Mail access.