Vendor Meetings
Administrative Services of Kansas, Inc.
Vendor
Call Minutes
February 17, 2005
CMS is reporting the National Percentage for migration to the HIPPA
formats at 99.12%.
General Announcements:
- Medicare B claims are being rejected on the Medicare
B .IXE report with edit number 20282. The edit compares
the REF segments of the 2010AA REF01 and REF02 (Billing
Provider) and the 2010AB REF01 and REF02 (Pay-To-Provider).
If they are the same, VMS will reject the claims with
edit 20282. If the Billing Provider is the same as
the Pay-To-Provider, the Pay-To-Provider should not
be submitted. Rejections for this edit began on February
4, 2005.
- When testing 270/271 and 276/277 transactions the
ISA must reflect “P” for production. All
Trading Partners should be testing using live data.
- Currently, EDI Services is gathering information
from our payers on how they plan to handle NPI. Once
this information is available, it will be posted to
the Internet.
- ANSI 385 5010 is now open for public comment. To
give your comments, visit http://www.wpc-edi.com/content/view/436/2/.
MCS Transition:
- The Medicare claims processing system is moving
from the VMS System to the Multi Carrier System ( MCS)
with an expected transition date of June 1, 2005.
- The payer number for Wyandotte and Johnson Counties
will be changing. This will be handled as a turnkey
event without a grace period for change. Medicare is
currently waiting for approval from CMS to post an
announcement with further information.
- Internal testing is underway.
- The MCS System will be generating a new report
to replace the IXE VMS Reports. For minimal impact,
the naming format for these new files will be the
same as the current IXE VMS Reports.
- A 30-day lead-time for changes to the Medicare
B generated reports was again discussed. There was
no objection to the 30 days.
- Marie will check out a possible problem mentioned
during the call. One of the vendor that has had experience
with the MCS system stated that if an ISA-IEA had more
than one GS-GE, then the ST-SE’s had to have
unique control numbers. The control number could not
be repeated again in the subsequent GS-GE’s.
837 Issues:
- When submitting information in the loops and segments
of an ANSI 4010A1 837P, 837D, or 837I, the qualifier
submitted must be valid and the information submitted
must match the qualifier and be accurate. ‘None’ and ‘Unknown’ are
not usually accurate responses.
- Medicare Release of Information Indicator (2300
CLM109) for Medicare B will only accept Y, N, or M.
Medicare does not have a date to have this corrected,
but this issue is with the VMS System and should be
eliminated with the move to the MCS system.
EDI Midwest Issues:
- A change will be made to the naming format of the
EDI Midwest Reports. A sequence number will be added
in the new naming format.
- Current naming format - edimidwest.date.time.rpt
- New naming format - edimidwest.date.time.sequence
number.rpt
835 Issues:
- BCBSKS will only provide production or test 835
transactions. They will no longer allow a provider
to receive both.
- Plan 65 remits are currently working on an issue
with the BRP13 being populated with invalid information.
- BCBSKC NASCO remits are currently showing ‘30’ in
the ISA05. ASK is currently working to correct the
file to show ‘ZZ’ in this field. This should
have little impact on providers as they are already
receiving a ‘ZZ’ in all other BCBSKC remits.
- When moving from test to production for Medicare,
there is a possibility of partial or no test or production
remits being created. Providers need to be prepared
to work from the paper remit.
Announcements:
- Medicare is currently working on a communication
plan for the MCS transition. Vendors and providers
are encouraged to sign up for the E-mail List Notification
on the Internet.
270/271 Issues:
- Medicare A and B are not currently providing batch
270/271 transactions.
- An announcement made by CMS was published on 1/11/2005,
stating a new approach to the 270/271 transactions
will begin in May 2005.
- BCBSKS is in production and is currently testing
Real Time transactions.
276/277 Issues:
- Medicare A and B are currently working with beta
test sites.
- BCBSKS is ready for production and is currently
working the following problems:
- BCBSKS reported a problem if the service line
date at the 2210D and 2210E is submitted with no
claim service date at the 2200D and 2200E. This problem
does not occur if the service date is submitted in
the 2200D and 2200E.
- If submitting the 2200D and 2200E, Medical Record
ID, the processing systems are returning the wrong
information for the Medical Record ID in the 277.
- Some issues occurred during beta testing for BCBSKC.
Vendors will be notified when these are corrected.
Next conference call is scheduled for 03/17/2005.
Phone Number: 1-877-326-2337 – Pass code 2102557
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