eServices
EDI
GPClaims
PCACE Pro32
Enrollment
100

Where HHH providers go to make their selection.

RCD Tab

100

Requirements needed to assist with a front end rejection

PTAN, NPI, Submitter ID and Name, Submission Date, Rejection Reason, MBI, claim amount, DOS, ISA13 or File ID

100

Screen used to verify a submitter ID and confirm if it is in production.

Screen 2.

100

Where can the manual be located?

PalmettoGBA

100

What provider information is needed?

If they are a group practice then the group information.

200

Selecting this populates the total charges for a eClaim Submission.

Add Line Information 

200

What providers can use DDE?

Part A & HHH

200

Screen used to validate providers.

Screen 9

200

What is the installation password?

medicare.

200

When is the agreement needed?

For new providers that does not have the agreement on file.

300

Where a provider can look to check a patients deductible.

Eligibility Tab

300

How many attempts do we allow for validation?

3

300

Screen used to verify Part A and Part B NPIs on the crosswalk.

Screen 12 and 13.

300

What pages can you locate information about reactivating previously transmitted claims?

60-61
300

Total amount of submitters provider is allowed to be link to?

7

400

This tab allows providers to view their letters.

eDelivery

400

What requirements are needed to pass validation?

Name, city and state

400

Screen used to verify a received ID.

Screen 22-2.

400

These are needed before you can download PC ACE Pro32.

Submitter ID and complete the software download request form.

400

Who email goes in the “Submitter Email Address” field?

Contact person

500

The widget is for Part B providers however, Part A providers can still submit them.

ADR

500

When can you proceed with a smart edit rejection 

If the claim has been submitted more than once without any changes 

500

Screen used to verify if a batch of claims was received.

Screen 4

500

What is the patient’s reference file?

A file that maintains all necessary general patient information as well as primary, secondary and tertiary insured details.

500

Who can sign?

Anyone authorized.

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