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 toll-free 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 VendorsHow to Avoid Common Version 5010 Claims RejectionsHealth Care Provider Taxonomy Codes (HPTC) InformationPart A & HHH PC-ACE Pro32 Reference GuideNetwork Service AgreementDirect Date Entry (DDE) Security EmailsTraining Modules on v5010 ReportsPC-ACE Pro32 Training ModulesCMS-1450 Claim Form Crosswalk to ASC X12 837I v5010A2PC Print Software and User's Manual999 and 277CA Response ReportsPC-ACE Pro32 Software User ManualClaim Status Category Code and Claim Status Code UpdateIntroduction to PC-ACE Pro32Online ERA /ERN and GPNet Report Restore FormASC X12 270/271 Beneficiary Eligibility InquiriesASC X12 v5010 Medicare Fee-For-Service Standard Companion GuidesSubmit Pre-claim Review (PCR) Submissions via EDI Batch ProcessASC X12 v5010 Resources At-A-GlanceEDI Enrollment Status ToolGPNet Communications ManualPart A Approved 5010 Errata VendorsASC X12 837 v5010 Errata Testing Procedures277CA Edit Lookup ToolDDE User's GuidePart A Electronic Claim TipsJurisdiction M HHH EDI Enrollment FormsInformation to Have Available When Contacting the EDI DepartmentDirect Data Entry (DDE) IDs, Access and Security Measures, and Password ProceduresEDI Enrollment Instructions Guide ModuleSmart Edits Listing and 277CA EnhancementPC-ACE Pro32 Software Download for JM HHHPC-ACE Pro32 v5.1 Software UpdateJM HHH EDI Online Enrollment FormsAfter I receive a 277CA will I receive anything else?Can I share my DDE ID?How can I tell if I am set up for Electronic Billing?How do I reset my DDE password?How do I restore a remit file?If I have an existing DDE ID with another company, can I request a new ID?Is the 277CA returned for each test submission?Is the Submitter ID required on the DDE enrollment form?PC-ACE Pro32 Software FAQWhat information do I need to have available when calling for Electronic Data Interchange (EDI) assistance?What is a Network Service Vendor?What is an approved software vendor?What is the difference between a Submitter ID and a DDE ID?What provider address should I include on the EDI enrollment forms?What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group?What Submitter Name should I enter on the Provider Authorization form?When is a provider authorization form required?Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description?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?PC-ACE Pro32 Version 5.2 Update File