For Medicare Part B Submitters
Due to CMS regulations in the Medicare Part B system, when multiple billing NPIs are linked to one PTAN, the electronic remittance advice (ERA) for all NPIs associated with that PTAN will deliver to only one trading partner. This could potentially result in one ERA containing multiple billing NPIs. Each NPI within the ERA will be contained in its own transaction set (ST-SE).
- JF Medicare providers - All ERAs created for the Medicare PTAN will deliver to the trading partner indicated in the Connect registration website for the lowest numeric Submitter ID.
- JE Medicare providers - The remit will deliver to whichever NPI last updated their 835 transactions in Connect.
For this reason, it is important for Submitters to log into their EDISS Connect accounts to ensure all NPIs linked to one PTAN indicate the same trading partner for delivery for their remits.
Message Sent:
August 6, 2024
September 6, 2023