Electronic Data Interchange (EDI)

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 at 855-696-0705 for EDI-related assistance. You may also email us by clicking on Contact Us at the top of this page.

Electronic Data Interchange (EDI) Articles

Approved Network Service VendorsAfter I receive a 277CA will I receive anything else?How to Avoid Common Version 5010 Claims RejectionsWhat PTAN should I enter on the EDI enrollment forms if the provider is a member of a group?Is the 277CA returned for each test submission?When is a provider authorization form required?Health Care Provider Taxonomy Codes (HPTC) InformationHow do I restore a remit file?What provider name should I include on the EDI enrollment forms?What provider address should I include on the EDI enrollment forms?What is an approved software vendor?What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance?What Submitter Name should I enter on the Provider Authorization form?Will you reject claims with a P.O. Box in the billing provider address? Will you reject claims where the group number and policy number are the same values?Network Service AgreementPart B PC-ACE Pro32 Reference GuideTraining Modules on v5010 ReportsPC-ACE Pro32 Training ModulesPart B Approved 5010 Errata VendorsWhat is a Network Service Vendor?999 and 277CA Response ReportsClaim Status Category Code and Claim Status Code UpdatePC-ACE Pro32 Software User ManualOnline ERA /ERN and GPNet Report Restore FormIntroduction to PC-ACE Pro32ASC X12 270/271 Beneficiary Eligibility InquiriesASC X12 v5010 Medicare Fee-For-Service Standard Companion Guides277CA Edit Lookup ToolWhere in the 277 CA file can we find the rejection message that provides the detailed rejection reason description?How can I tell if I am set up for Electronic Billing?Medicare Fee-For-Service Part B Common Edit and Enhancements Module (CEM) EditsCMS-1500 to 837 v5010A1 CrosswalkGPNet Communications ManualASC X12 v5010 Resources At-A-GlanceEDI Enrollment Status ToolPC-ACE Pro32 Version 4.9 Update FileASC X12 837 v5010 Errata Testing ProceduresPC-ACE Pro32 Software FAQJurisdiction M Part B EDI Enrollment FormsInformation to Have Available When Contacting the EDI DepartmentPC-ACE Pro32 version 5.0 Update FilePC-ACE Pro32 Software Download for JM Part B ProvidersJM Part B EDI Online Enrollment FormsMedicare Secondary Payer (MSP) Electronic Claim Filing RequirementsPart B & RR Electronic Claim TipsEDI Enrollment Instructions Guide ModuleMedicare Remit EasyPrint (MREP) Software for Part BSmart Edits Listing and 277CA Enhancement