EDI Support Services

February 6, 2018

Scheduled Distribution


Testing for Medicare Providers

For New Medicare Direct Submitters

Information regarding the Medicare testing process has been updated on edissweb.com.  To view the updates, please go to http://www.edissweb.com, select your state, and click Registration.

Medicare Testers should allow 10 business days from the date a direct 837 transaction is added to Connect for testing setup to be complete prior to submitting a test file.  Upon submission of a Medicare 837 Test file, providers should review the TA1, 999 and 277CA Acknowledgement Reports. Once a provider has received a clean 277CA Acknowledgement Report, EDISS will approve the provider for production within 7 to 10 business days.  If assistance is needed for rejections on these reports, please contact EDI Support Services (EDISS).


EDISS Remittance Advice Process Change

For All Medicare Part A and B Submitters

Based on recent CMS direction involving suppression of Standard Paper Remittance Advice (SPR) outlined in Change Request (CR) 10151,  EDISS is implementing a process change for Medicare 835 Remittance Advice recipients.

CR10151 eliminates the issuance of SPRs to providers/suppliers who have been receiving Electronic Remittance Advice (ERA). More details around the CR can be found here:  https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10151.pdf.

No Submitter action is needed, but for those that make changes in EDISS Connect to remove the 835 transaction, the following changes are being implemented immediately to address this CR.

Medicare Part A Providers:

Part A providers who unenroll from the 835 transaction in EDISS Connect will have their ERA option removed from the Medicare standard system and will not be moved back to a paper option. Part A providers have the option of viewing their Remittance Advice information in the Noridian Medicare Portal (NMP), but this option is not a full Remittance Advice. The Part A Remittance Advice in NMP are claim level, single-line ERAs only.

Medicare Part B Providers:

Part B providers who unenroll from the 835 transaction in EDISS Connect will have their ERA option removed from the Medicare standard system and not be moved back to a paper option. Part B providers have the ability to view their full Remittance Advice in NMP. At the time of removal, EDISS will adjust the Medicare standard system to ensure that the NMP Remittance Advice option is automatically selected for future use. To view a Remittance Advice in NMP, providers will need to register for NMP full remittance advice access.

Part B providers are encouraged to register for the full remittance advice option in NMP.  For more information on NMP registration and functionality, please visit www.noridianmedicare.com.


Special Character Usage

For All Submitters

EDISS occasionally receives a file containing special characters within the data that are also being used as a delimiter in EDISS response reports. In an effort to assist Submitters in avoiding unnecessary report file delays, EDISS encourages Submitters to avoid using the following characters in their element data:

CHARACTER

NAME

*

Asterisk

^

Carat

:

Colon

`

Backtick

In an effort to assist Submitters in avoiding unnecessary report delays, EDISS encourages Submitters to use only the following special characters in filenames:

CHARACTER

NAME

-

Dash

_

Underscore

.

Period

|

Pipe


EDI Support Services Contact Information:

Electronic Data Interchange Support Services (EDISS) is the EDI solution for various healthcare payers. EDISS exchanges electronic data for both Medicare and commercial business.

LOB

STATES

PHONE

Jurisdiction E (JE) Part A and B

CA, NV, HI, Guam, American Samoa, Northern Mariana Islands

855-609-9960

Jurisdiction F (JF)
Medicare A and B

AK, AZ, ID, MT, ND, OR, SD, UT, WA, WY

877-908-8431

Blue Cross/Blue Shield

ND, WY

800-967-7902

Medicaid

ND, IA

800-967-7902

WSI, Vision and Dental

ND

800-967-7902

BCBSWY Dental

WY

800-967-7902

Fax:

EMail:

Website:

1-701-277-7850

support@edissweb.com

www.edissweb.com

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