EDI DME MAC MANUALS

• CSI MANUAL.PDF UPDATED 12/07
• This manual contains instructions on how to use the on-line Claim Status Inquiry (CSI) product.

• B17DENIALS.PDF
• You Can Prevent B17 Denials

• New DMEPOS Certificates of Medical Necessity (CMN) Technical Guide (Revised 12/28/06)
  • This guide is a supplement to CMS CR4296 to show the changes required to create a CMN/DIF in the ANSI X12N 837 4010A1 format. NOTE: Claims that require a CMN or DIF with a date of service on or after January 01, 2007, must be submitted with the new CMN/DIF forms.

• EXPRESS PLUS MANUAL Updated 01/08
  • This file contains the HIPAA-Compliant Express Plus Manual which includes instructions on how to install and use the Express Plus software to create Medicare Part B (IN & KY), Medicare Durable Medical Equipment (DME) and Anthem Blue Cross/Blue Shield claims. The Express Plus software will allow suppliers/providers to send claims, retrieve Level 1 997 and Front-End Edit Reports.

• Jurisdiction B DME MAC ANSI X12N 4010A1 Front End Edit Error Manual Revised 03/08
  
  • This manual provides the ANSI X12N 4010A1 Front End Edit Descriptions and Edit Explanations to be used by all EDI submitters including Express Plus users. Included is a description and example of each Front End Edit Report.

• NCPDP Error Message Manual  Updated 02/08
  • This manual provides the NCPDP error messages and edit descriptions for Implementation Guide, Medicare specific and DME MAC specific edits. An example of the NCPDP Front End Report is included.

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