DHHS Internet Website - Medicaid & Long-term Health Care

Nebraska Medicaid Program

Electronic Data Interchange (EDI)

EDI Trading Partner Reports (5010)

Claim Reports For EDI Trading Partners - Testing 5010

Electronic Claim Activity (ECA) Report – Rejected Claims

Electronic Claim Activity (ECA) Report – Deleted Claims

Codes Used on Electronic Reports

Nebraska Medicaid uses national codes for reporting on the electronic remittance advice and other reports. Click here Washington Publishing Company (WPC) HIPAA Code List to connect to the web site where national codes are maintained.

• Medicaid Remittance Advice uses “Claim Adjustment Reason Codes” and “Remittance Advice Remark Codes.”
• Medicaid Deleted Claims and Medicaid Electronic Claim Activity (ECA) reports use: “Claim Status Codes” and “Claim Status Category Codes.”

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