New York Customers
Troubleshooting/FAQs
ANSI 837 FAQs Below are listed several questions we have received before and during beta testing. Please also read the Companion Documents for additional information.
- Where can I find taxonomy codes required in the 2000A PRV segment?
- How do I get a Trading Partner Number?
- Will we continue to use the same NAIC (Payer ID) number for BCBSWNY?
- How quickly will test files be processed, when will we get our 997?
- If I have questions on my reports, whom should I call?
- Will the ANSI 835 be available at the time of production?
- Is the Trading Partner Number Assigned to the Provider, or the Vendor?
- ISA05 and ISA06, what qualifier and identifier should be reported here?
- For the 1000B/NM103 (Organization Name) and 1000B/NM109 (Receiver Primary ID) what information are you looking for? Is this ASK or HealthNow?
- Where can I find information on reading the 997?
- What phone number and communications are required to send claims to ASK?
- For the SV1 do you want 50 or 50.00 for a $50.00 charge?
- Can I file secondary claims to ASK?
- How long after I send my claims will I receive a 997 or Claims Confirmation Report?
- How do I get my password unsuspended when I’m trying to transmit claims? How do I keep from getting it suspended?
- How long do provider numbers stay on the security file?
- Where can I find taxonomy codes required in the 2000A PRV segment?
Answer: Taxonomy Codes can be found at the Washington Publishing Company Web site.
Back to top
- How do I get a Trading Partner Number?
Answer: Complete the EDI Enrollment Form and fax back to ASK
Back to top
- Will we continue to use the same NAIC (Payer ID) number for BCBSWNY?
Answer: Yes, ASK will accept Blue Cross Blue Shield of WNY- 00301/00801, Blue Shield of NENY - 00800, and HealthNow - 55204
Back to top
- How quickly will test files be processed, when will we get our 997?
Answer: ASK allows self-testing and 997 and ASK Confirmation Reports will be available. All test files will be forwarded to HealthNow staff for their review. HealthNow staff will notify the trading partner of the outcome of the test file.
Back to top
- If I have questions on my reports, whom should I call?
Answer: Questions on 997's or Response Reports Manual should be directed to ASK. Contact Us for more information.
Back to top
- Will the ANSI 835 be available at the time of production?
Answer: A valid payee NPI (found on the voucher) must be enrolled with ASK in order to receive this transaction.
Back to top
- Is the Trading Partner Number Assigned to the Provider, or the Vendor?
Answer: The Trading Partner Number is assigned to the entity submitting the claims.
Back to top
- ISA05 and ISA06, what qualifier and identifier should be reported here?
Answer: Please see the Companion Documents.
Back to top
- For the 1000B/NM103 (Organization Name) and 1000B/NM109 (Receiver Primary ID) what information are you looking for? Is this ASK or HealthNow?
Answer: ASK INC is the receiver. Please see the Companion Documents.
Back to top
- Where can I find information on reading the 997?
Answer: 997 Functional Acknowledgment information is in Section B in the back of the ASC X12 Implementation Guide.
Back to top
- What phone number and communications are required to send claims to ASK?
Answer: Please refer to the Telecommunications Manual for more information.
Trading partners using a dial up connection will be given the phone number in the confirmation letter once setup is completed.
Back to top
- For the SV1 do you want 50 or 50.00 for a $50.00 charge?
Answer: 50 = $50.00 See page A.5 in the Implementation Guide.
Back to top
- Can I file secondary claims to ASK?
Answer: Yes, using the ANSI X12N 837 format.
Back to top
- How long after I send my claims will I receive a 997 or Claims Confirmation Report?
Answer: Reports will normally be returned between 2 - 4 hours after claims submission. Producing reports is dependent on the total volume of claims received and can fluctuate greatly. If your reports are not in your mailbox after 4 hours from claim submission you can check the EDI Status line at 800-472-6481 Option 2.
Back to top
- How do I get my password unsuspended when I’m trying to transmit claims? How do I keep from getting it suspended?
Answer: Unfortunately, once you have suspended your password you must contact the EMS Help Desk to have it unsuspended. The Help Desk will need to know your name and your trading partner number to unsuspend your password.
To avoid password suspensions in the future, we offer the following suggestions.
- Reminder: Passwords get suspended after the third unsuccessful attempt.
- Passwords on our system are case sensitive. This means that the system can differentiate between upper and lower case. Please check your Caps Lock key when typing in your password.
- There is only one password per trading partner. Remember to share your password with others in your office that may need it.
Effective 12/04/2005, password requirements on the EDI System will change. Anyone changing their password after 12/04/2005 needs to insure that their password meets the following requirements:
- Must be eight (8) characters in length, no longer or shorter
- Must include both alpha and numeric characters
- Can’t be reused for at least six (6) generations
- Must be changed every 60 days
Special characters may be used in your password but are not required. If you choose to use special characters in your password, the following is a list of valid characters to use.
* :~; \ @ # $ % ^ & ( ) _ - + = { } [ ] | ‘ < > , . ? / `
We encourage you to make your passwords as strong as possible.
Back to top
- How long do provider numbers stay on the security file?
Answer: In an effort to keep this file up to date, provider numbers with no activity for at least six months will be removed from a trading partner number. Once removed from a trading partner number, the EDI Enrollment form will need to be completed to re-add this number.
Back to top