I received a letter saying I have to file claims electronically with Railroad Medicare and references "ASCA". What does "ASCA" mean?

Answer
ASCA, or the Administrative Simplification Compliance Act, requires electronic claim submissions (except for certain rare exceptions) in order for providers to receive Medicare payment. Providers must submit their claims electronically using the X12 Version 5010 and NCPDP Version D.0 standards. As an alternative, providers can submit paperless claims directly online through the Palmetto GBA eServices portal eClaims option. Note: Before registering for eServices you will need to have an Electronic Data Interchange (EDI) Enrollment Agreement on file with Palmetto GBA. 

For more information about ASCA requirements, including the exceptions to filing electronically, please see our article Mandatory Electronic Submission of Medicare Claims

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Provider Contact Center: 888-355-9165

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