Understanding 855 Acknowledgements

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This discussion will discuss the 855 Acknowledgement form and its purpose. The 855 Acknowledgement is a form used by the Centers for Medicare and Medicaid Services (CMS) to acknowledge that a provider has received and accepted payment for services rendered to a Medicare beneficiary. It is important for providers to understand the 855 Acknowledgement and how to properly complete it in order to ensure proper reimbursement for services rendered. This discussion will cover the purpose of the 855 Acknowledgement, how to properly complete it, and how it affects providers in terms of reimbursement.

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An 855 Acknowledgement is an electronic response message in the X12 EDI format used to acknowledge that a message has been received. It is part of an application protocol known as ASC X12 EDI, which provides a common communication interface between trading partners.

The 855 Acknowledgement can be used to provide an electronic record and proof of transaction, allowing trading partners to automate their purchasing and fulfillment processes and save on paperwork. It can also be used to ensure that the payer and receiver of a transaction agree on the terms of a sale.

Here are some key points about the 855 Acknowledgement:

• It is an application protocol based on the American National Standards Institute (ANSI) X12 EDI format established in the 1970s.

• It allows for the automation of data exchanges between vendors, suppliers, and customers.

• It is used to confirm that a business transaction, such as an invoice, has been successfully received.

• It is used in many industries, such as manufacturing, retail, logistics, and healthcare.

For more information on the 855 Acknowledgement and its uses, please see the following helpful links:

• How an 855 Acknowledgement Works: https://www.airclic.com/blog/how-does-an-855-acknowledgement-work

• Benefits of Using the 855 Acknowledgement: https://www.harborcompliance.com/resources/855-acknowledgement/

• EDI 855 Overview: https://www.edibasics.com/edi-documents/855-acknowledgementpo/

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The 855 Acknowledgement is a response from the Medicare Administrative Contractor (MAC) confirming the receipt of a transaction and verifying the exact contents of the submitted data.

In the healthcare industry, the 855 Acknowledgement is used to provide recognition of receipt of the Medicare Part A and Part B claim and accept or reject the claim for processing.

Here are some of the key points about 855 Acknowledgements:

855 Acknowledgement is usually used to confirm the submission of Medicare Part A and Part B claim.
It also contains a summary of each claim’s status, such as accepted, rejected or incomplete.
It is used to check that the submitted claim has been received by the MAC and the content of the claim has been verified.
It can also be used to confirm the acknowledgment of reimbursements.
855 Acknowledgements allow providers to catch any errors on the claim or make corrections before it is processed.
Any errors on the 855 Acknowledgement must be corrected and a corrected 855 Acknowledgment must be sent back.

For more information on 855 Acknowledgements, please visit:
https://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Medicare-Administrative-Contractors-Facilities/Understanding855AcknowledgeAndRemittance_Advisories