RGA seeks to support providers with electronic claim submission to ensure secure EDI commerce for the mutual benefit of our consumer-patients. We work with provider-submitters to process ANSI HIPAA transactions, including:

• Claim/Encounter Submission (837/Professional, Dental, Institutional)
• Claim Status Inquiry/Response (276/277)
• Eligibility Inquiry/Response (270/271)

RGA has the capability to process and respond to these transactions; however our ability to respond is dependent upon the receipt of clean transmissions between your clearinghouse and RGA's clearinghouse. Our primary clearinghouse is Availity and our payer ID is HMA01.

Questions can be submitted by email to EDIRequest@accesstpa.com

Precertification

Click here for RGA Precertification Information.
 

Providers - Are you ready for ICD-10 and 5010?

5010 or NCPDP Information: http://www.cms.gov/Versions5010andD0/

ICD-10 Information: http://www.cms.gov/icd10/