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New legislation, intended to promote wide-scale adoption of electronic transactions, mandates the adoption of healthcare operating rules by January 1, 2014, and the identification of a healthcare EFT standard by January 1, 2012.

These developments mean that financial institutions should act now to ensure that they are ready to provide the remittance information in the Payment Information Field of the CCD if requested by the Receiver.

You can find a link to the online application by selecting “Provider information,” then selecting “Start an application” in the “Enrollment” section of the navigation bar on the left of your screen. Return to list Only currently active providers have access to the provider information portal.

Inactive or suspended providers must contact the Provider Enrollment Unit before they will be able to log on the portal. This information should be given to individuals who need access to the provider information portal for checking eligibility or submitting claims.

Return to list Non-facility providers can change their demographic information online after they have logged on the provider information portal.

The AMA is committed to reducing administrative burdens on practices.

Physicians and practice staff spend hours dealing with complex issues surrounding the insurance claim payment process, including prior authorizations, patient eligibility inquiries, claim filing and payment reconciliation, costing the practice money and time that could be better spent on patient care.

The timeline below will help with planning and implementation efforts: Section 1104 Transactions Requiring Operating Rules View a graphic depiction of the timeline.

In March 2011, the National Committee on Vital and Health Statistics (NCVHS) charged CAQH CORE— in collaboration with NACHA— to author the healthcare EFT and ERA operating rules.

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