Electronic Data Interchange (EDI)

Published 12/01/2016

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.

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 v5010A2999 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 GuidesASC 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 ModuleJM HHH EDI Online Enrollment FormsProvider Alert: Discontinuation of Common Working File Eligibility TransactionsPC-ACE Pro32 Version 5.3 Update FileReason Code U6825Reason Code U6805Reason Code U5233Reason Code C7080Reason Code C7010Reason Code 39929Reason Code 39011Reason Code 319471650119201195043090830914321623296834927Reason Code 11501Reason Code 12102Reason Code 13599Reason Code 1461AReason Code 15701Reason Code 30928Reason Code 30949Reason Code 31102Reason Code 31276Reason Code 31282Reason Code 31287Reason Code 31313Reason Code 31418Reason Code 31428Reason Code 31485Reason Code 31503Reason Code 31566Reason Code 31605Reason Code 31689Reason Code 31755Reason Code 32030Reason Code 32032Reason Code 32105Reason Code 32243Reason Code 32400Reason Code 32402Reason Code 32403Reason Code 32404Reason Code 32445Reason Code 32710Reason Code 32907Reason Code 34923Reason Code 34952Reason Code 37236Reason Code 37238Reason Code 37253Reason Code 37257Reason Code 37402Reason Code 37541Reason Code 38050Reason Code 38055Reason Code 38107Reason Code 56900Reason Code 5Z72FReason Code N5052Reason Code U5106Reason Code U5111Reason Code U5150Reason Code U5157Reason Code U5181Reason Code U5194Reason Code U5200Reason Code U5211Reason Code U538FReason Code U538IReason Code U5391Reason Code W7A01Reason Codes 38031, 38157, 38158 and 38200Reason Codes 39071, 39072, 39073JM Part A Annual DDE RecertificationSmart Edits Listing and 277CA EnhancementPC-ACE Pro32 Version 5.4 Update FilePC-ACE Pro32 Software Download for JM HHHSubmit Pre-claim Review (PCR) Submissions via EDI Batch ProcessPC Print Software and User's ManualJM HHH EDI Enrollment: Finding Forms OnlineWhat information do I need to have available when calling for Electronic Data Interchange (EDI) assistance?Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description?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 the difference between a Submitter ID and a DDE ID?What is an approved software vendor?Is the 277CA returned for each test submission?Is the Submitter ID required on the DDE enrollment form?PC-ACE Pro32 Software FAQHow do I restore a remit file?If I have an existing DDE ID with another company, can I request a new ID?How do I reset my DDE password?Can I share my DDE ID?How can I tell if I am set up for Electronic Billing?After I receive a 277CA will I receive anything else?