Part B EDI Frequently Asked Questions
| Q: | Did you receive my "EDI Enrollment Form?" |
|---|---|
| A: | The "EDI Enrollment Form" needs to accompany the "PART B EDI Customer Profile" Form. Please do not send it in separately, as the PART B EDI Department will not know where it needs to be routed and therefore it will be returned back to you. |
| Q: | I mailed in an EFT application, can you tell me the status of this paperwork? |
| A: | If your EFT authorization was mailed in with other applications, such as the "EDI Enrollment Form" and the "PART B EDI Customer Profile," the EFT paperwork is separated out and forwarded to the Provider Enrollment Department in Nashville, Tennessee. Please make sure your EFT authorization is mailed directly to the Nashville address listed on the CIGNA Government Services' Web site. For more on this information, please visit the Provider Enrollment Pacage page. |
| Q: | Why was my paperwork returned? |
| A: | Your paperwork can be returned for various
reasons. Please make sure you submit all of the pages included
in the "PART B EDI Customer Profile" Form and the "EDI
Enrollment Form," whether they are completed or not. The "PART
B EDI Customer Profile" Form must accompany all paperwork
sent into our office.
Another reason your paperwork may have been returned is due to the fact that the applications used are outdated and no longer accepted. Please make sure you access the CIGNA Government Services' Web site to receive the most current applications. If you have any questions regarding your Electronic Data Interchange (EDI) paperwork, you may call our PART B EDI helpdesk toll-free at 866.352.1608 for North Carolina customers or 866.520.4022 for Idaho customers. |
| Q: | I want to begin submitting claims electronically and am ready to test. What form(s) do I need to submit to get started? |
| A: | Both the EDI Customer Profile and the EDI Enrollment Form need to be submitted to start sending claims electronically. If you are required to test, then you must submit a Part B Communication Application to get setup for testing. NOTE: The only entities that are required to test are new software Vendors, Billing Services, and Clearinghouses. |
| Q: | I am receiving errors on my Batch Detail Control List and do not know how to correct them? |
| A: | You may find a description for any errors received by utilizing the Part B Medicare MCS Edits Search Tool. The most common EDI errors are also sent to our provider community via our ListServ, Medicare bulletin, and EDI Connection newsletter on a quarterly basis. You may join our ListServ, view the Medicare bulletins, and EDI Connection newsletter by visiting the CIGNA Government Services Part B website. Should you still have further questions regarding the errors you received, you may call our EDI Helpdesk at 866.352.1608 for North Carolina customers or 866.520.4022 for Idaho customers. |
| Q: | Do you offer any options for checking claim status and/or beneficiary eligibility electronically? |
| A: | Yes. Claim status and beneficiary eligibility are available electronically through the 276/277 Claim Status Inquiry/Response transaction pair or through the Professional Provider Telecommunication Network (PPTN). Please visit the EDI Products and Services area on our Web site for more information. |
