Electronic Data Interchange (EDI)

Published 07/12/2022

Palmetto GBA's Electronic Data Interchange (EDI) division encourages providers to submit their claims electronically and to utilize certain electronic features we offer. You can also access certain claim and patient eligibility records, and retrieve your remittance notices electronically.

The Centers for Medicare & Medicaid Services (CMS) has approved version 5010 Base and Errata as the exclusive version for all ASC X12N electronic transaction sets used by Medicare. ASC X12 TR3 Implementation Guides for v5010 transactions are available through the ASC X12 Store.

Please contact the Palmetto GBA Provider Contact Center toll-free at 888–355–9165 for EDI-related assistance. You may also email us by clicking on Contact Us at the top of this page.

Approved Network Service Vendors277CA Edit Lookup ToolHow to Avoid Common Version 5010 Claims RejectionsHealth Care Provider Taxonomy Codes (HPTC) InformationNetwork Service AgreementPart B Approved 5010 Errata VendorsPC-ACE Pro32 Software User ManualClaim Status Category Code and Claim Status Code Update999 and 277CA Response ReportsOnline ERA /ERN and GPNet Report Restore FormIntroduction to PC-ACE Pro32Pattern Detection Smart EditsASC X12 v5010 Medicare Fee-For-Service Standard Companion GuidesASC X12 270/271 Beneficiary Eligibility InquiriesRailroad Medicare PC-ACE Pro32 Reference GuidePC-ACE Pro32 Training ModulesTraining Modules on v5010 ReportsMedicare Fee-For-Service Part B Common Edit and Enhancements Module (CEM) EditsCMS-1500 to 837 v5010A1 CrosswalkASC X12 v5010 Resources At-A-GlanceGPNet Communications ManualASC X12 837 v5010 Errata Testing ProceduresPart B & RR Electronic Claim TipsMedicare Remit EasyPrint (MREP) Software for RailroadRailroad Medicare EDI Enrollment FormsRailroad Medicare EDI Request for Enrollment StatusRailroad Medicare EDI Online Enrollment FormsRailroad Medicare EDI Enrollment: Finding Forms OnlinePC-ACE Pro32 Version 5.3 Update FileSmart Edits Listing and 277CA EnhancementPC-ACE Pro32 Version 5.4 Update FilePC-ACE Pro32 Software Download for Railroad MedicareWhat information do I need to have available when calling for Electronic Data Interchange (EDI) assistance?What is my Submitter ID?Where can I locate the payer ID for Railroad Medicare?Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description?How can I check on the status of my Railroad EDI Enrollment Form?How can I tell if I am set up for Electronic Billing?Once I enroll for electronic billing, do I automatically receive electronic remits?What provider address should I include on the EDI enrollment forms?What Submitter Name should I enter on the Provider Authorization form?What is a Network Service Vendor?When is a provider authorization form required?What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group?What is an approved software vendor?Is the 277CA returned for each test submission?PC-ACE Pro32 Software FAQHow do I restore a remit file?After I receive a 277CA will I receive anything else?PC-ACE Pro32 Version 5.5 Update FileEDI Enrollment Instructions Guide Module