The EDI Services department provides support for Medicare providers submitting claims electronically for processing by Cahaba.
What is EDI?
Electronic Data Interchange, or EDI, is the computer-to-computer exchange of business documents in a standardized format. EDI eliminates the need to print and mail paper business documents.
Health care providers and payers exchange EDI transactions such as health care claims, eligibility, claim status, remittance advice statements and reports associated with the transmission of electronic files. There are two ways these transactions can be exchanged, using a software program that batches the transaction into an electronic file, or real-time through a computer-to-computer connection to the payer.
Benefits of EDI
There are advantages to providers who conduct business with Medicare electronically. Some of those benefits include:
- Faster payment when claims are submitted electronically (14 days)
- Conducting business electronically is easy
- Free software is available for use
- Support is provided by Cahaba EDI Services
- EDI editing eliminates many claim errors that delay payment
- Online correction of Medicare Part A claims is available
- Save time and money eliminating postage
- Elimination of paper documents saves space and storage cost
Who should use EDI?
Effective October 16, 2003, providers are required by law to submit their claims electronically to Medicare, with minimal exceptions. However, all providers, with small or large claims volumes, can successfully submit claims electronically. Additional information regarding this requirement can be found on the CMS Website.
How do I get started?
Download and print the Electronic Billing with Cahaba. This booklet will guide you through your options for connectivity, transmission and through the EDI enrollment process necessary to establish the security needed for connectivity. A list of approved vendors is available for your review.
Page last updated: April 8, 2013