Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 40.2.2.5

EDI Enrollment and EDI Claim Record Retention

Last amended: 2014Year: 2014Length: 140 wordsOfficial source
40.2.2.5 - EDI Enrollment and EDI Claim Record Retention (Rev. 2965, Issued: 05-23-14, Effective: 07-25-14, Implementation: 07-25-14) In order for an entity to become an EDI trading partner, an EDI enrollment form must be completed, approved, and on file with an A/B MAC or CEDI. A/B MAC or CEDI are required to retain all EDI enrollment forms according to the same CMS Records Schedule retention requirements that apply to the CMS-855 Medicare Enrollment Application. The paper claim retention schedule can be found at Pub 100-01, Chapter 7, Section 30: http://www.cms.gov/Regulations-and- Guidance/Guidance/Manuals/Downloads/ge101c07.pdf Once a trading partner has been tested and approved for electronic submission of claims, they can begin submitting electronic claims to Medicare. A/B MAC, DME MACs or CEDI are required to retain electronically filed claims under the same CMS Records Retention Schedule retention requirements that apply to hardcopy claim.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 40.2.2.5: EDI Enrollment and EDI Claim Record Retention | Justis AI