Nebraska Medicaid Program
Electronic Data Interchange (EDI)
EDI Trading Partner Reports (4010)
Claim Reports For EDI Trading Partners - 4010
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.”
Documents in PDF format require the use of Adobe Acrobat Reader which can be dowloaded for free from Adobe Systems, Inc.