what is claim certification in Medical billing

Claim Certification 

Because an electronic claim cannot be submitted with a signature, the provider’s endorsed signature on the back of the remittance check issued by the Medicaid fiscal agent takes the place of a signature on a paper claim form. It acknowledges the submission of the claim and the receipt of the payment for the claim. It certifies that the claim is in compliance with the conditions stated on the back of the paper claim form, and with all federal and state laws.

Any provider who utilizes the electronic funds transfer system is certifying with each use of the system that the claim(s) for which the provider is being paid is in compliance with the provisions found on the back of the paper claim form and with all federal and state laws.

Technical Support 

The Electronic Data Interchange (EDI) Support Unit assists providers who have questions about electronic claims submission. The fiscal agent’s EDI Technical Support is available to all providers Monday through Friday from 8:00 a.m. to 7:00 p.m. ET at 800-829-0218.

EDI Support will:

·  Provide information on available services.

·  Assist in enrolling users for electronic claims submission and report retrieval.

·  Process test transmissions.

·  Provide technical assistance on transmission difficulties.

Note: Information on EDI is available on the fiscal agent’s website at http://floridamedicaid.acs-inc.com.