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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.
Published Date:06/01/2016
Printed Date: 9/22/2015
URL: http://palmgba.com/marlowe/redesign6/article.html
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Answer: If you receive a 277CA, you will not receive another EDI report.
This was last updated on 12/15/2020
Answer: Please use the Railroad Medicare EDI Request for Enrollment Status Form. If you have a question about your status or do not receive a response about your status, please contact the EDI Provider Contact Center at 888-355-9165 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 with EDI.
Answer: No. Electronic Remittances can be requested by selecting the appropriate box on the Railroad Medicare Part B EDI application. The Centers for Medicare & Medicaid Services (CMS) has made available the Medicare Remittance Easy Print (MREP) software to enable Medicare providers to view and print 835 Electronic Remittance Advices. If you requested a receiver ID, you may click the download form for MREP Software to install. If you are using a clearinghouse/billing service to receive your electronic remittances, please contact the clearinghouse/billing service for assistance.
What is Pro32 software and does it cost anything? Answer: 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 software.
What do I need to do to utilize the Pro32 software? Where do I start? Answer: 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 your contract.
Once I download the PC-ACE Pro32 software, is it an easy process? Answer: 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? Answer: 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.
Answer: 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.
Answer: 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).
Answer: An approved software vendor has completed and passed all 5010A1 or 5010A2 test requirements.
This was last updated on 09/28/2020
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Last Updated: 1/01/2021