Medical Billing made Simply Powerful ™

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Payer Details

Payer: PALMETTO GBA - J1 - MEDICARE

Payer ID: 01202 - Enter the payer ID in the Payer Library (Tools > Payer Library)

State(s): AS, GU, HI, MP

Web Site: http://palmettogba.com/palmetto/palmetto.nsf/SiteHome?ReadForm

EDI Specs: Payer EDI Specifications

Minimum EZClaim Version and Release: Advanced 7 Release 22 or higher
(To check your version and release, click the Support/Help menu and select About EZClaim. The first line shows the version and release.)

Carrier Specific Instructions:
ISA05 - 27

Uses GPNET BBS for electronic transactions. A modem is required.
http://palmettogba.com/palmetto/providers.nsf/docsCat/Providers~Jurisdiction%201%20Part%20B~EDI~Software%20Manuals?open&expand=1&navmenu=EDI||

Application Info
Claim Submission Mode - GPNET Asynchronous
Report/Electronic Remittance Mode - GPNET Asynchronous
Report Response Format --Report
Data Compression - PKZip
PPTN or DDE Connectivity Vendor - May leave blank

 

Location: Tools menu > Options > Submitter Info > Submitter/Receiver Library button
 
Submitter/Receiver Library Entries
Export Format: ANSI 837 w/~
Receiver Name NM103 (Loop 1000B): PALMETTO
Receiver ID NM109 (Loop 1000B): 01202
Receiver Code GS03: 01202
Interchange Receiver ID ISA08: 01202

 

EZClaim's ANSI 837 Reference Guide

Payer List