![]() Will trading partners receive error-readable reports for 5010? This answer also applies to the secure provider portal. In test, Superior will use a response report (audit report) indicating accept/reject status. In production, Superior will use the TA1 Interchange Acknowledgement, 997 Implementation Acknowledgement if requested and the Superior audit report. What type of acknowledgement reports are used for 5010? One guide will be used for all Centene plans. The guides are found on Superior's Provider Forms page, under Medicare Claims Forms and EDI Tools. Superior will provide a transaction-specific companion guide for all 5010 health-care transactions. ![]() Which 5010 companion documents will Superior provide? Transaction-specific, these companion guides further define what is required to process transactions efficiently through Superior. 997 Acknowledgement of file received upon requestĪ 5010 Companion Guide is a supplemental document that clarifies the situational rules stipulated in the 5010 TR3 manuals.999 Implementation Acknowledgment 005010X231A1.837 Health Care Claim: Institutional 005010X223A2.837 Health Care Claim: Professional 005010X222A1.Superior supports HIPAA adopted TR3 Errata, when applicable and most up to date version. Does Superior HealthPlan support the version 5010 TR3 Errata? Please visit the Centers for Medicare & Medicaid Services or for more information on data reporting changes in the Version 5010 transactions. National Provider Identifier (NPI) vs Social Security Number (SSN)īe sure to use the NPI and not an employer identification or social security number as the primary identifier on your claim. If the onset date is prior to the date of service, enter the two dates in their applicable fields. Entering the same date on both the onset field and service field will cause an error. If the onset date is the same as the date of service, leave the onset date field blank. Texas Medicaid & Healthcare Partnership (TMHP)ĭirect Submission Testing Correct Use of the Date of Service/Onset Date Fields While Superior can only accept direct EDI submissions from the trading partner below, providers may continue to the trading partner they are contracted with and these submissions will be routed through our designated direct submitter provider. *68068 is the Payer ID for Behavioral Health Services for our members in most locations. To conduct other HIPAA transactions not listed, please contact our EDI department at 1-80, ext. Centene is currently receiving professional, institutional and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). Visit PaySpan’s website for more information.Įlectronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Manage multiple Payers – Reuse enrollment information to connect with multiple Payers Assign different Payers to different bank accounts, as desired.Match payments to advices quickly – You can associate electronic payments with electronic remittance advices quickly and easily. ![]() Multiple practices and accounts are supported
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