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North Carolina Division of Medical Assistance Companion Guide Premium Payment Order/Remittance Advice 820 005010X218 Division of Medical Assistance DMA Instructions related to Transactions based on ASC X12 Implementation Guides version 005010X218 Companion Guide Version Number 1. NON-SHADED rows represent data elements in the X12N implementation guide. 005010X218 Premium Payment Order/Remittance Advice Loop ID Reference Header ST Transaction Set .

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Please contact our Electronic Data Interchange (EDI) department at (866) 518-3285 for more information. Medicare also offers free software called Medicare Remit Easy Print (MREP), which allows providers to view and print the ERA.

The main purpose of remittance advice is to help suppliers match invoices with payments. Remittance advice should therefore include the invoice number, along with the payment amount and method of payment.

A Remittance Advice Report (RA) is a monthly statement of approved claims. It is issued at the same time as your payment. If you submit via EDT you will receive your RA between the 5th and 7th of the month. If the claims are submitted on diskette, you will receive your RA between the 12th and 15th.

Electronic Remit Advice (ERA) and Standard Paper Remit (SPR) After Medicare processes a claim, either an ERA or an SPR is sent with final claim adjudication and payment information. One ERA or SPR usually includes adjudication decisions about multiple claims.

The Centers for Medicare & Medicaid Services (CMS) prepared this Remittance Advice (RA) booklet to outline RA information for Medicare Providers. It allows you to navigate easily to relevant topics by clicking on the particular topic below. WHAT IS AN RA?

With each check you will receive a Provider Remittance Advice (PRA), which is a statement explaining the services that are being paid. Similarly, patients receive an Explanation of Benefits (EOB) that defines what was paid by PHP and what is their payment responsibility to the provider .

Remittance advice is a letter used by a customer to inform the supplier with information about the payment made. It contains important information such as the payment amount and what invoice numbers the payment is tendered. If an invoice is paid by check, it's common to attach a paper remittance advice to the check.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232