Technical Specifications
The Administrative Simplification Compliance Act (ASCA) prohibits Medicare coverage of claims submitted to Medicare on paper, except in limited situations. All initial claims for reimbursement from Medicare must be submitted electronically with limited exceptions.
The Centers for Medicare & Medicaid Services (CMS) has approved version 4010A1 (also referred to as "the Addenda") as the exclusive version for all ANSI X12N electronic transaction sets used by Medicare. Information on Implementation Guides, the X12N Data Dictionary and ANSI Remittance Codes may be found at Washington Publishing Company's Web site. The CMS Electronic Billing & EDI Transactions Web page also includes detailed information on the EDI Transactions.
Find Companion documents and other materials in support of the approved ANSI transaction sets for Louisiana and Mississippi Part A EDI transition to Palmetto GBA.
last updated on 11/04/2009