Get Edi Services Part B Vendor Application - Cahaba Gba

JJ processes FFS Medicare Part A and Part B claims for Alabama, Georgia, and Tennessee. Total Number of Fee-for-Service Beneficiaries: 2,133,049 (as of 9/30/2022)

Electronic Data Interchange (EDI) is an innovative digital communication tool that is used to deliver data from a provider to a payer. In order to be eligible to submit electronic claims to an insurance company, providers must complete EDI enrollment.

Palmetto GBA is part of the Celerian Group, a consortium of companies that helps government and private health care plans navigate the complexities of benefits administration.

Palmetto GBA and GSA OASIS Along with our affiliates in the Celerian Group, Palmetto GBA is entrusted by the federal government to manage, oversee and protect government finances, which total $83+ billion annually.

Palmetto GBA processes Part A, fee-for-service Medicare claims for Medicare beneficiaries through home health agencies and hospices in the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and ...

MACs are multi-state, regional contractors responsible for administering both Medicare Part A and Medicare Part B claims. MACs perform many activities including: Process Medicare FFS claims.

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims.

Palmetto GBA administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdictions J, which includes the state of Georgia.