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Medicare Carriers, Durable Medical Equipment Regional Carriers (DMERCs), and Fiscal Intermediaries (FIs) furnish first line support to physicians, suppliers and other providers that submit claims and conduct other business with Medicare. Providers, and billing services, clearinghouses or other entities that furnish services to providers, must contact the carrier, DMERC, or FI responsible for the geographic area in which the provider operates, for the zip code of a beneficiary that receives services or supplies billed to a DMERC, or that a provider chooses to process their institutional claims (FI). You can use the contractor link below to obtain contact information for those carriers, DMERCs, and FIs.
Use of Electronic Data Interchange (EDI) transactions allows a provider to submit transactions faster and be paid for claims faster, and to accomplish this at a lower cost than is generally the case for paper or manual transactions.
Medicare contractors can assist you to begin exchanging EDI transactions by furnishing you with enrollment and connectivity information, system access numbers and passwords, information on those transactions supported by Medicare, and testing with you to assure correct transmission of the EDI formats. Although they do furnish limited EDI training, it is the responsibility of providers and other entities that will be using EDI to train their staff members on use of the hardware, software, and the security and privacy requirements that apply to EDI transactions.
You can use the links below to identify the carrier, DMERC, or FI that would be responsible for your EDI connectivity, and for further information on the level of support furnished by those contractors to providers and other entities that exchange Medicare EDI transactions.
Page Last Modified: 12/14/2005 12:00:00 AM
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