Paid by EFT? Choose One Recipient

You may be contacted by your Medicare Administrative Contractor (MAC) soon about where you want electronic payments sent. Starting April 1, only one receiver will see electronic payment for a claim, no matter how many national provider IDs (NPIs) are on file.

The change results from the Centers for Medicare & Medicaid Service’s (CMS) new Healthcare Integrated General Ledger Accounting System (HGLAS). Under the old system, Medicare would create one check per claim and each provider could have multiple recipients of each electronic payment, which would prompt an electronic remittance advice (ERA). Unfortunately, when MACs transitioned to HGLAS, old system logic didn’t work and billers received remittance advice not containing all the claims processed in a given cycle, or not containing the total amount.

To fix the problem, MACs will choose only one recipient for electronic fund transfers (EFT) or checks and won’t consider the sender information. You should choose a single recipient for your Medicare money.


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