Title
a. Approve and authorize execution by the Director of Health of Electronic Data Interchange ("EDI") Provider Trading Partner Agreement, authorizing Gateway EDI to receive County of Monterey d/b/a/ Monterey County Health Department Laboratory ("County Laboratory") claim files of TRICARE beneficiaries for submission to PBGA, L.L.C.; and
b. Approve and authorize execution by the Director of Health of Addendum to ERA Enrollment Form for Billing Services and Clearinghouses between County of Monterey d/b/a Monterey County Health Department Laboratory and PGBA, LLC, authorizing Gateway EDI to receive Electronic Remittance Advices ("ERAs") in connection with County Laboratory claim files of TRICARE beneficiaries for submission to PBGA, L.L.C; and
c. Approve and authorize execution by the Director of Health of Medi-Cal Telecommunications Provider and Biller Application/Agreement, authorizing Gateway EDI to receive County Laboratory claim files of Medi-Cal beneficiaries for submission to the California Department of Health Care Services; and
d. Approve and authorize execution by the Director of Health of Medi-Cal Telecommunications Provider and Biller Application/Agreement, authorizing Gateway EDI to receive 835-Transaction Data in connection with County Laboratory claim files of Medi-Cal beneficiaries submitted to the California Department of Health Care Services; and
e. Approve and authorize execution by the Director of Health ERA Enrollment Form, authorizing Gateway EDI to receive ERAs in connection with County Laboratory claim files of Anthem Blue Cross beneficiaries; and
f. Approve and authorize execution by the Director of Health of Provider Authorization Form Electronic Payment Information, authorizing Gateway EDI to receive ERAs in connection with County Laboratory claim files of Blue Shield of California beneficiaries; and
g. Approve and authorize execution by the Director of Health, subject to County Counsel approval, of additional written authorizati...
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