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We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
Find answers to frequently asked Medicare questions below. You can view additional FAQs for Hospice providers on the CMS website. For help with eServices, view our eServices FAQs.
Don't see your question in the list above? Contact us and we'll help you find an answer.
If you receive a 277CA, you will not receive another EDI report.
This was last updated on 09/28/2020
Please use the EDI Enrollment Status
Online Request Form located under EDI, Enrollment for you
contract. If you are a Part A, Part B or HHH submitter and have a question
about your status, or do not receive a response about your status, please
contact the EDI Provider Contact Center at 855-696-0705 (JM) or 877-567-7271
(JJ) to verify EDI Enrollment.
A remittance file can be restored to your mailbox by
submitting an Online ERA/ERN and GPNet Report Restore Form. You will receive a
request confirmation by email. The remittance files are available 20 business
days prior to current date. You may also contact our EDI Provider contact
Center at 855-696-0705 (JM), 877-567-7271 (JJ) or 888-355-9165 (RR) for
assistance with restoring your file.
Please have your Submitter/Receiver ID, Dates to Restore,
Check/EFT number, Check/EFT Amount, Email Address and Contact Phone Number
ready before submitting a request. Palmetto GBA can only restore remit files
for a submitter or if receiving files from a clearinghouse, the contact on file
What is Pro32 software and does it cost anything?
The PC-ACE Pro32 software is a claims-entry software available from
Palmetto GBA at no cost. It cannot be used in conjunction with any other
What do I need to do to utilize the Pro32 software? Where do
If you currently have a submitter ID, you can download the PC-ACE
Pro32 software from our website under the EDI, Software & Manuals page for
Once I download the PC-ACE Pro32 software, is it an easy
Yes. Please use the PC-ACE pro32 User’s Manual and the PC-ACE
Pro32 Reference Guide along with the confirmation sheet you received. The
PC-ACE Pro32 training modules are designed to address the basic information you
will need to know to submit a claim electronically. You can view the
PC-ACE Pro32 training modules from our website under the EDI, Software
& Manuals page for your contract.
Do we have to manually enter each claim into the Pro32?
Each claim must be manually entered. Pro32 cannot accept claims
transferred from another software program. Please refer to the Pro32
user's manual, as well as Pro32 Training Module 3A (Part A claims) or 3B
(Part B claims) for additional information.
Please have the following information available prior
to calling about an EDI-related issue so we may assist you:
If you are unable to provide this information, you may be
required to call back.
A Network Service Vendor provides high speed, secure connectivity to
submitters for claim submission and responses. Please refer to a listing
of CMS Approved NSVs (PDF, 63 KB).
An approved software vendor has completed and passed all 5010A1 or
5010A2 test requirements.
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Last Updated: 10/01/2020