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The HIPAA (Health Insurance Portability and Accountability Act) Eligibility Transaction System (HETS) allows you to check Medicare beneficiary eligibility data in real-time. Use HETS to prepare accurate Medicare claims, determine beneficiary liability, or check eligibility for specific services.
The HIPAA Eligibility Transaction System (HETS) is intended to allow the release of eligibility data to Medicare Providers, Suppliers, or their authorized billing agents for the purpose of preparing an accurate Medicare claim, determining Beneficiary liability or determining eligibility for specific services.
If you completed your EDI enrollment through EDISS, your can easily retrieve your Submitter ID from the EDISS Connect website.
It has been requiring the collection and reporting of information regarding the offshoring of their health care providers, vendors, and other subcontractors. ing to CMS, reported information includes: all contractors and subcontractors that engage in Offshore Activities involving PHI.
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