Georgia Model Electronic Data Interchange Trading Partner Agreement

State:
Multi-State
Control #:
US-CP1020-AM
Format:
Word; 
Rich Text
Instant download

Description

This sample form, a detailed Model Electronic Data Interchange Trading Partner Agreement document, is for use in the computer, internet and/or software industries. Adapt to fit your circumstances. Available in Word format.
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FAQ

Payer Name: Medicaid - Georgia|Payer ID: 77034|Professional (CMS 1500)

An EDI trading partner agreement (EDITPA) is a set of variables that you provide to tailor how Module for EDI exchanges documents between two trading partners. The module supports partner-specific EDITPAs and a single default EDITPA.

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To obtain a new member ID card you can call Member Services at 1-800-704-1484 (TTY/TDD 1-800-255-0056). You will receive a new member ID card within 7 (seven) calendar days. You can also print an ID card from the secure member portal.

(c) Providers may bill a patient accepted as a Medicaid patient only in the following situations: (1) for allowable deductibles, co-insurance, or co-payments as specified in the Medicaid State Plan; (2) before the service or supply is provided, the provider has informed the patient that the patient may be billed for a ...

Medicaid members may call 877-423-4746 or go online at .gateway.ga.gov to report changes. If I have a question about my Medicaid application who should I contact?

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Georgia Model Electronic Data Interchange Trading Partner Agreement