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April 16, 2015

Contacting Electronic Data Interchange (EDI)

The CGS Part A Electronic Data Interchange (EDI) department handles the following functions related to Medicare electronic claims processing:

  • EDI enrollment
  • Administrative Simplification and Compliance Act (ASCA)
  • Electronic Remittance Advice (ERA)
  • PC-ACE Pro 32 billing software
  • Direct Data Entry (DDE) billing software

For specialized assistance related to Part A EDI functions, call 866.590.6703 and select Option 2. EDI Customer Service Representatives are available to provide assistance with questions about:

  • EDI enrollment
  • Connectivity
  • Trading partners
  • myCGS web portal
  • PC-ACE Pro 32 billing software
  • DDE billing software (enrollment, RACF IDs, problems with claims being accepted)
    • For assistance with other questions related to DDE, call 866.590.6703 and select Option 1.
    • For assistance with DDE password issues, call 615.660.5444.

The following items must be verified when you contact EDI. Please have this information available prior to calling so we may assist you:

  • Provider Transaction Access Number (PTAN) (also referred to as a Medicare provider number);
  • Submitter Identification number (if you are a billing service or clearinghouse);
  • Employer Identification Number (EIN) or Tax Identification Number (TIN) (available on the 855 enrollment form or PECOS);
  • Company name;
  • Contact name;
  • Telephone number; and
  • City and state

If you are unable to provide this information, you may be required to call back.

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