EDI CARRIER PRODUCT INFORMATION

AdminaStar Federal, in conjunction with The Centers for Medicare and Medicaid Services (CMS), strongly encourages electronic data interchange (EDI) transactions. As a company, we offer products and services in the EDI environment beyond the submission of electronic claims. To maximize the benefits received as an electronic submitter, incorporate all of our EDI tools in your daily business routines.

E-Commerce Consultants:

AdminaStar Federal's E-Commerce Consultant has years of Medicare and EDI experience. This expertise is used to advise providers on maximizing the EDI tools offered at AdminaStar Federal. The consultant provides education on EDI and HIPAA (Health Insurance Portability and Accountability Act of 1996). She will assist providers when making decisions associated with the electronic environment and works closely with software vendors, billing services and clearinghouses to provide effective communications. You can contact your E-Commerce Consultant using the information below:

To Download the latest version of the EDI Brochure click here

Professional Provider Telecommunication Network:

Professional Provider Telecommunications Network (PPTN) provides the capability to view Part B claims submitted to AdminaStar Federal as they appear in the Medicare processing system. Through this system providers are eligible to view claims for a specific provider number, HIC number or dates of service. This will include paid, denied, pending, assigned and non-assigned claims. Twenty-seven months of claim history is maintained and accessible through PPTN. Beneficiary Eligibility is also available through PPTN. Filing claims electronically is the only requirement necessary to sign-up for PPTN.

To access the PPTN agreement form, click here.

Electronic Remittance Advices:

Electronic Remittance Advices (ERA) enables providers to receive their remittance sooner than on paper. Along with faster receipt, some software vendors have developed the capability to post these notices automatically. The automatic posting process is reliable and efficient. Check with your software vendor to see if you have this capability. Paper remittance can still be received through the mail. Filing claims electronically is the only requirement necessary to sign-up for ERAs.

To access the ERA agreement form, click here.

Electronic Funds Transfers:

Electronic Funds Transfer (EFT) allows automatic deposit of claims payment into a bank account specified by the Provider. When EFT is coupled with ERA, the advantages include quicker receipt of funds and notices, eliminated trips to the bank and the time savings of a manual process.

To access the EFT agreement form, click here.

Express Plus

Express Plus is a PC compatible software with the ability to electronically transmit Medicare Part B and Medicare Secondary Payer (MSP). By utilizing Express Plus Software, Medicare claims are paid following the 13th day of processing versus 29 days for paper claims. User managed tables contain vital information such as patient demographics and Facility name. These tables assist the user in creating claims quickly and accurately. An annual administrative fee of $25 is required when enrolling for Express Plus.

The following is a list of minimum system requirements needed to use Express Plus:

• 50 MB hard disk space
• 32 MB RAM
• Windows 95 or greater (Express Plus will not work on Windows 3.1)
• 386 processor or greater
• Hayes compatible modem 9600 - 28800 (Express Plus will not work with a "cable modem" or DSL line.)
• Printer
• CD Rom

Access the enrollment forms here.

Medicare Remit Easy Print (MREP):

Are you still using the Standard Paper Remittance (SPR)? Save TIME and MONEY by taking advantage of FREE MREP software available for viewing and printing the HIPAA compliant Electronic Remittance Advice (ERA)! The MREP software gives providers the following abilities:

• Easy navigation and viewing of the ERA using your personal computer;
• Print the ERA in the Standard Paper Remittance (SPR) format;
• Search capability that allows providers the ability to find claims information easily;
• Print and export reports about ERAs including denied, adjusted and deductible applied claims;
• Easy-to-use method to archive, restore, and delete imported ERAs

Providers can view and print as many or as few claims as needed. This will be especially helpful when you need to print only one claim from the remittance advice when forwarding the claim to a secondary payer. This FREE software can save you time resolving Medicare claim issues. Take advantage of the MREP features unavailable with the SPR.

EDI List Serve:

An EDI List Serve is available. This is the fastest way to stay informed of EDI news, changes and updates. Once subscribed, you will receive e-mails containing the latest information.

To subscribe to the EDI List Serve, click here.

Connectivity Alternatives/Network Service Vendors:

AdminaStar Federal offers the network service vendors, IVANS, Nebo Systems and VisionShare, to provide an alternative method of communication to EDI Services. These vendors offer services and benefits that include connection to AdminaStar Federal for submission and receipt of HIPAA transactions and access to the the Direct Data Entry (DDE), Professional Provider Telecommunication Network (PPTN) and Claim Status Inquiry (CSI). To receive additional information on the services provided from these network service vendors and pricing structures, use the contact information provided below.

Support:

Our EDI Helpdesk consists of highly trained experts in the field of EDI. They are available to assist providers with any electronic needs.

1-877-ASF-4EDI (1-877-273-4334)
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Times of operation are as follows:

8:00 a.m. - 11:30 a.m. and 12:00 p.m. - 4:00 p.m. (EST) Monday, Tuesday, Wednesday and Friday
8:30 a.m. - 11:30 a.m. and 12:00 p.m. - 4:00 p.m. (EST) Thursday

The EDI Helpdesk can be contacted via email at ASF.EDI.B@anthem.com