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Approved Vendors
The Cahaba Approved Vendors list contains the names of vendors, clearinghouses, and billing services that have successfully tested products producing the Institutional X 12N 837 Version 4010A1 format. This list is provided for your convenience and should not be construed as a vendor recommendation by Cahaba. Providers must choose and make their own arrangements with vendors. Cahaba is not party to any arrangements between providers and vendors.
Third Party Billing Agent/Clearinghouse/Network Services Vendor
If contracting with a third party billing agent or clearinghouse/network services vendor, you must identify the third party vendor when completing the "EDI Services Part A Enrollment Application" form which is availabe on the EDI Forms Web page. If this information changes, a new "EDI Services Part A Enrollment Application" form must be completed with the updated information. This ensures that electronic transactions submitted by the vendor are authorized by you.
If a provider chooses to use a third party to submit or receive electronic transactions on behalf of the provider, the provider is required to have an agreement signed by the third party in which the third party has agreed to meet the same Medicare security and privacy requirements that apply to the provider in regard to viewing or use of Medicare beneficiary data. It is not required to submit such an agreement to Cahaba, but the provider is required to retain the agreement.
Providers are never permitted to share their personal EDI access number and password with any billing agent, clearinghouse/network service vendor, or anyone within their own facility/organization. Third party billers must obtain and use their own unique EDI access number and password from Cahaba EDI Services.
Medicare providers are responsible for ensuring the information submitted on their billing transactions is correct and according to Medicare billing and claims processing requirements. This would include billing transactions submitted directly into the FISS, by using batch file transfer software or through a third party billing service.
How to Become an Approved Vendor
Billing software vendors, clearinghouses/network services vendors and billing services interested in becoming an approved vendor with Cahaba will need to complete the “EDI Services Vendor Form” which is available on the EDI Forms Web page. Vendors are required to have a Cahaba Part A provider client and must meet the same testing criteria that providers must meet. Please see EDI Services Testing Procedures for information regarding requirements and the testing process. After a vendor has successfully completed testing, the vendor will be listed in the EDI approved vendor listing.
Page last updated: February 24, 2010
