Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 40.2.6
Provision and Maintenance of a Directory of Billing Software
40.2.6 - Provision and Maintenance of a Directory of Billing Software
Vendors and Clearinghouses
(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)
A/B MACs and CEDI must maintain a directory of electronic billing software vendors
and clearinghouses that have successfully completed software and/or submission testing
for the current ASC X12 837 claim, NCPDP claim (applies to CEDI only)
Telecommunication standard and Batch standard claim transactions adopted as national
claim standards for HIPAA. A/B MACs and CEDI must make this directory available to
their providers via a Web page or electronic bulletin board. A/B MACs and CEDI must
update the directory whenever product offerings from additional software vendors and/or
additional clearinghouses are made available for providers to utilize when submitting
transactions for production. At a minimum, the directory must include the
vendor/clearinghouse name, phone number, email address and product offerings. A/B
MACs and CEDI should also note any additional transactions for which the tested
software can be used for submission or receipt of HIPAA standard transactions other than
the claim.