Florida Medicaid made a fiscal agent transition from ACS to EDS (Electronic Data Systems) on July 1st 2008. With this change came a few minor bumps which seems normal with any type of conversion of this scale but it's good for all medical practices that bill electronically to be aware of.
First issue is that reports are reflecting claims accepted but in reality if they are missing NPI numbers they are getting kicked out and are not being processed. For more information on this please reference Florida Medicaid Claim Rejections
Second issue is that ERA (electronic remittance advice) are not getting transmitted through clearinghouses effectively. If you are not receiving your ERA 835 files please log in to Florida Medicaids website and indicate an agent to receive 835 files (ERA). Florida Medicaid has indicated that medical providers have either not registered for the 835 file or they setup the roles incorrectly causing the ERA no files issue.
1. Go to Florida Medicaid website http://mymedicaid-florida.com/
2. In provider section tab; select Secure Information for Providers
3. Sign in to Florida Medicaid using login information
4. Under Applications select: Account Manager
- Select Add Agent
- Enter the email address of your clearinghouse
- Click Search
- Select available options
- Terms of Service: Yes, I Agree
5. Under Applications select: Manage Agent Roles
- Select Provider or Billing Agent (clearinghouse)
- Select Florida Web Portal
- Modify the permissions for FLPortalProd
- Check 835
- Check Trade Files
- Save Changes
Electronic Remittance Advice is a electronic explanation of benefits.
Questions on Electronic Medical Billing and Claims then click here medical claims electronic billing
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