Vendor Meetings

Blue Cross Blue Shield of Kansas EDI Services
Vendor Call Minutes
March 20, 2008

J5 Information:

• The J5 A/B MAC completed for Kansas, Nebraska and NW Missouri Fee for Service Medicare on March 1, 2008. 
• Clients calling with Medicare EDI questions are being directed to WPS Medicare EDI department at 1-866-503-9670. Web address is www.wpsmedicare.com, email address for Medicare A is EDIMedicareA@wpsic.com, and email address for Medicare B is EDIMedicareB@wpsic.com
• Medicare electronic transactions submitted after March 1, 2008 to Blue Cross and Blue Shield of Kansas (BCBSKS) will reject and be returned with a 3001 – Unable to determine route, message. 
• If you or your clients use the free PC-ACE Pro32 software, you will be able to continue to use the BCBSKS version.  A service pack was made available to users on January 29, 2008. The current version of PC-ACE Pro32 software issued by BCBSKS is 1.90. A quarterly release of the PC-ACE Pro32 software is being prepared and will be available soon after April 1, 2008. 

• BCBSKS and ASK continues to accept claims for all payers except Medicare. Payers include BCBSKS, BCBSKC, HealthNow NY, PHP and EDI Midwest Commercial Claims Clearinghouse. 

Questions and Answers:

• Do you accept Preferred Health Professionals (PHP)?  
• Yes, we accept PHP claims at no charge.

Along with Blue Cross and Blue Shield of Kansas (BCBSKS), we also accept at no additional charge claims for, Freedom Network, Freedom Network Select, BlueCross BlueShield of Kansas City (BCBSKC),
Preferred Health Professionals PPO (PHP PPO), Mo-Kan Sheet Metal Workers Welfare Fund, Health Partners of Kansas, HealthNow New York, Inc.,
BlueCross BlueShield of Western New York, and BlueShield of Northeastern New York. http://www.ask-edi.com/pdf-docs/ASK_Enrollment_transactions.pdf

NPI Information

• BCBSKS:
• 837 Transactions (Claims) – Accepts NPI only, Dual Use. Trading partners wanting to send NPI only must notify BCBSKS first.
• NPI is required on all claims submitted January 1, 2008.
• Legacy only is no longer accepted, January 1, 2008.

• Currently providers with a high volume of NPI rejections are being contacted. We are urging providers to contact their vendor/clearinghouse/billing service.

• BCBSKC:
• 837 Transactions (Claims) – Accepts NPI only, Dual Use, or Legacy only.
• 835 Transactions (Remits) – If the NPI has been reported to the payer, trading partners will receive both legacy and NPI on all 835 transactions.

• Please encourage your customers to begin submitting NPI as soon as possible.
• The NPI Registry can be found at:  https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do.

System Updates

• The next routine system deployment is scheduled for April 6, 2008.

Upcoming events

• Greater Kansas City Medical Managers Association - GKCMMA

March 27, 2008 – Kansas City, MO

• Kansas Medical Group Manager Associations - KMGMA

April 10 and 11, 2008 – Wichita, KS

• KOA

April 24 and 25, 2008 – Topeka, KS

• As a reminder our Marketing Reps are available for Provider Community Events

We want to encourage you and your clients to share suggestions and ideas on how EDI Services can provide better assistance.  Please send emails to askedi@ask-edi.com with suggestions. 

The next regularly scheduled conference call is April 17, 2008.
Phone Number: 1-877-326-2337 – Pass code 2102557

 

Web Addresses:                                                          Email Addresses:
www.ask-edi.com                                                       askedi@ask-edi.com  
www.bcbsks.com
www.bcbskc.com                                                       Phone: 800-472-6481

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