Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 40.2.6

Provision and Maintenance of a Directory of Billing Software

Last amended: 2013Year: 2013Length: 169 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 40.2.6: Provision and Maintenance of a Directory of Billing Software | Justis AI