Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 10
Introduction to Electronic Data Interchange (EDI) for Medicare
10 - Introduction to Electronic Data Interchange (EDI) for Medicare
Fee For Services (FFS)
(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)
EDI for Medicare FFS is not limited to the submission and processing of claim related
transactions, but includes processes such as provider EDI enrollment, beneficiary
eligibility, coordination of benefits, as well as security and privacy concerns. So as not to
be duplicative, where EDI is a relevant part of a Medicare business process, it will be
indicated here, however, the specifics of the business process will be maintained in its
respective IOM chapter or comparable communication venue.