Electronic Data Interchange (EDI)

This paragraph includes contact info specific to VA & WV Part A providers/submitters.
Palmetto GBA has subcontracted with National Government Services (NGS) to continue EDI support of the Virginia (VA) and West Virginia (WV) Part A workload. VA and WV Part A providers should contact the NGS Help Desk for technical assistance at 855-696-0705.

Palmetto GBA's Electronic Data Interchange (EDI) division encourages providers to submit their claims electronically and to utilize certain electronic features we offer. You can also access certain claim and patient eligibility records, and retrieve your remittance notices electronically.

The Centers for Medicare & Medicaid Services (CMS) has approved version 5010 Base and Errata as the exclusive version for all ASC X12N electronic transaction sets used by Medicare. ASC X12 TR3 Implementation Guides for v5010 transactions are available through the ASC X12 Store.

Please contact the Palmetto GBA Provider Contact Center toll-free at 855-696-0705 for EDI-related assistance. You may also email us by clicking on Contact Us at the top of this page.

Electronic Data Interchange (EDI) Articles

Approved Network Service VendorsHow to Avoid Common Version 5010 Claims RejectionsHealth Care Provider Taxonomy Codes (HPTC) InformationNetwork Service AgreementPart A & HHH PC-ACE Pro32 Reference GuideDirect Date Entry (DDE) Security Emails277CA Edit Lookup ToolCMS-1450 Claim Form Crosswalk to ASC X12 837I v5010A2PC Print Software and User's Manual999 and 277CA Response ReportsClaim Status Category Code and Claim Status Code UpdatePC-ACE Pro32 Software User ManualOnline ERA /ERN and GPNet Report Restore FormIntroduction to PC-ACE Pro32ASC X12 v5010 Medicare Fee-For-Service Standard Companion GuidesASC X12 270/271 Beneficiary Eligibility InquiriesEDI Enrollment Status ToolASC X12 v5010 Resources At-A-GlanceGPNet Communications ManualPC-ACE Pro32 Training ModulesTraining Modules on v5010 ReportsPart A Approved 5010 Errata VendorsASC X12 837 v5010 Errata Testing ProceduresDDE User's GuidePart A Electronic Claim TipsMedicare Secondary Payer (MSP) Part A Electronic Claim Filing RequirementsJurisdiction M Part A EDI Enrollment FormsInformation to Have Available When Contacting the EDI DepartmentDirect Data Entry (DDE) IDs, Access and Security Measures, and Password ProceduresEDI Enrollment Instructions Guide ModuleSmart Edits Listing and 277CA EnhancementPC-ACE Pro32 Software Download for JM Part AJM Part A EDI Online Enrollment FormsPC-ACE Pro32 Version 5.2 Update FileJM Part A EDI Enrollment: Finding Forms OnlineCan I share my DDE ID?After I receive a 277CA will I receive anything else?How can I tell if I am set up for Electronic Billing?How do I reset my DDE password?If I have an existing DDE ID with another company, can I request a new ID?Is the 277CA returned for each test submission?Is the Submitter ID required on the DDE enrollment form?PC-ACE Pro32 Software FAQWhat information do I need to have available when calling for Electronic Data Interchange (EDI) assistance?What is a Network Service Vendor?What is an approved software vendor?What is the difference between a Submitter ID and a DDE ID?What provider address should I include on the EDI enrollment forms?What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group?What Submitter Name should I enter on the Provider Authorization form?When is a provider authorization form required?Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description?Will you reject claims with a P.O. Box in the billing provider address? Will you reject claims where the group number and policy number are the same values?How do I restore a remit file?Provider Alert: Discontinuation of Common Working File Eligibility TransactionsPC-ACE Pro32 Version 5.3 Update FileJM Part A Annual DDE Recertification

Last Updated: 04/22/2016