Screen 1
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Screen 2
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Screen 3 - Medicare Transmission Parameters
Screen 4 - Medicaid Transmission Parameters
Phone Numbers -- This is the phone number of the Medicare/Medicaid computer(s) that
receive the data transmission, and the number dialed by your MODEM. Note that in the
screen(s) there is a comma between the 9 and the phone number. This is required if you
dial 9 to get an outside line (the comma pauses after the 9 to receive a dial tone before
proceeding with dialing the number). In some cases, several commas may be needed, and that
will be dependent upon how long it takes to get an outside line.
The initial test is with live
claims for which you will be paid. Medicare will take a close look at these, and if a
certain percentage are "clean", you will be given a permanent ID number.
Test Transmission <Y/N> -- If
set to Y, certain parameters are changed in the electronics claim records transmitted so
that Medicare recognizes the transmission as test claims. . These test claims will be
scrutinized, and for determination of re-testing or putting on a permanent basis. After
successful testing, change from Y(es) to N(o).
MODEM BAUD Rate – either
the max for your MODEM or max allowed for Medicare/Medicaid – note – may be
different for Medicare and Medicaid
MODEM COM Port – depends upon your
hardware configuration
MEDICARE
Data Fields -- Certain data are required to be entered into this screen to allow
electronic claims. Some are supplied by Medicare. CES will assist in applying for these
data. The initial test is with live claims for which you will be
paid. Medicare will take a close look at these, and if a certain percentage are
"clean", you will be given a permanent ID number.
MEDICAID
Here, the necessary data for some fields will be supplied by EDS who handles Medicaid
claims for Georgia. CES will assist with applying for this information. You will be
required to submit 20 test claims, for which you will not be
reimbursed – CES will assist with these test claims. |